Provider Demographics
NPI:1245764323
Name:BETTER LIFE HOME CARE INC
Entity Type:Organization
Organization Name:BETTER LIFE HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTOINETTE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:JOSUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-465-5220
Mailing Address - Street 1:1505 ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34950-6814
Mailing Address - Country:US
Mailing Address - Phone:772-465-5220
Mailing Address - Fax:
Practice Address - Street 1:1505 ORANGE AVE
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-6814
Practice Address - Country:US
Practice Address - Phone:772-465-5220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-17
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211844251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health