Provider Demographics
NPI:1508110966
Name:BETTER LIVING LLC
Entity Type:Organization
Organization Name:BETTER LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:THIESMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:734-747-0123
Mailing Address - Street 1:1507 ABBOTT AVE
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-4103
Mailing Address - Country:US
Mailing Address - Phone:734-644-5483
Mailing Address - Fax:
Practice Address - Street 1:1507 ABBOTT AVE
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-4103
Practice Address - Country:US
Practice Address - Phone:734-644-5483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI944489133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty