Provider Demographics
NPI:1013450279
Name:BETTER LIFE MEDICAL SUPPLIES & EQUIPMENT
Entity Type:Organization
Organization Name:BETTER LIFE MEDICAL SUPPLIES & EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-801-9706
Mailing Address - Street 1:1301 FORT CAMPBELL BLVD
Mailing Address - Street 2:B
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-4076
Mailing Address - Country:US
Mailing Address - Phone:301-801-9706
Mailing Address - Fax:
Practice Address - Street 1:1301 FORT CAMPBELL BLVD
Practice Address - Street 2:B
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-4076
Practice Address - Country:US
Practice Address - Phone:301-801-9706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies