Provider Demographics
NPI:1649734476
Name:BEST LIFE HEARING CENTER, LLC
Entity Type:Organization
Organization Name:BEST LIFE HEARING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MICACCI
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:860-919-0998
Mailing Address - Street 1:850 N MAIN STREET EXT STE 1C
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-2487
Mailing Address - Country:US
Mailing Address - Phone:203-741-9943
Mailing Address - Fax:
Practice Address - Street 1:850 N MAIN STREET EXT STE 1C
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-2487
Practice Address - Country:US
Practice Address - Phone:860-919-0998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-25
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty