Provider Demographics
NPI:1861665622
Name:BETTER LIVING SUPPORT SERCIVES
Entity Type:Organization
Organization Name:BETTER LIVING SUPPORT SERCIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANEUS
Authorized Official - Middle Name:S
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-235-8393
Mailing Address - Street 1:10610 N 30TH ST APT 22D
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-6347
Mailing Address - Country:US
Mailing Address - Phone:813-516-3056
Mailing Address - Fax:812-977-5263
Practice Address - Street 1:10610 N 30TH ST APT 22D
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-6347
Practice Address - Country:US
Practice Address - Phone:813-516-3056
Practice Address - Fax:812-977-5263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL683115098Medicaid
FL683115096Medicaid