Provider Demographics
NPI:1659633675
Name:METROPOLITAN BETTER LIVING CENTER,INC.
Entity Type:Organization
Organization Name:METROPOLITAN BETTER LIVING CENTER,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELYN
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-525-3024
Mailing Address - Street 1:PO BOX 36119
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73136-2119
Mailing Address - Country:US
Mailing Address - Phone:405-525-3024
Mailing Address - Fax:405-525-3027
Practice Address - Street 1:702 NE 37TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-7210
Practice Address - Country:US
Practice Address - Phone:405-525-3024
Practice Address - Fax:405-525-3027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-14
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251B00000X251B00000X
261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251B00000XAgenciesCase Management