Provider Demographics
NPI:1619681590
Name:BETTER LIFE INC
Entity Type:Organization
Organization Name:BETTER LIFE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MAHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:GELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-226-8484
Mailing Address - Street 1:1913 BROADWAY ST NE STE 100D
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-2627
Mailing Address - Country:US
Mailing Address - Phone:612-226-8484
Mailing Address - Fax:
Practice Address - Street 1:1913 BROADWAY ST NE STE 100D
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-2627
Practice Address - Country:US
Practice Address - Phone:612-226-8484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-05
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit