Provider Demographics
NPI:1164606505
Name:A BETTER WAY OF LIFE INC
Entity Type:Organization
Organization Name:A BETTER WAY OF LIFE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INCORPORATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:REDDICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-327-5149
Mailing Address - Street 1:1654 LENNON ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-8853
Mailing Address - Country:US
Mailing Address - Phone:252-327-5149
Mailing Address - Fax:252-215-1187
Practice Address - Street 1:103 BELMONT AVE SW
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-4701
Practice Address - Country:US
Practice Address - Phone:252-529-3009
Practice Address - Fax:252-215-1187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC098-051320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities