Provider Demographics
NPI:1629236179
Name:A BETTER CHANCE INC.
Entity Type:Organization
Organization Name:A BETTER CHANCE INC.
Other - Org Name:A BETTER CHANCE INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:CHEIF EXECUTIVE OPERATIONAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELORS
Authorized Official - Phone:407-532-7703
Mailing Address - Street 1:1452 BRUTON BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-4226
Mailing Address - Country:US
Mailing Address - Phone:407-532-7703
Mailing Address - Fax:407-532-6900
Practice Address - Street 1:1452 BRUTON BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-4226
Practice Address - Country:US
Practice Address - Phone:407-532-7703
Practice Address - Fax:407-532-6900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X251E00000X
FL251E000000X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1954Medicaid