Provider Demographics
NPI:1801164678
Name:BETTER LIVING PLUS LLC
Entity type:Organization
Organization Name:BETTER LIVING PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:DICKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-600-8527
Mailing Address - Street 1:1001 CRAIG ROAD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:CREVE COUER
Mailing Address - State:MO
Mailing Address - Zip Code:63136
Mailing Address - Country:US
Mailing Address - Phone:314-236-5001
Mailing Address - Fax:314-569-0552
Practice Address - Street 1:4351 DELMAR BLVD
Practice Address - Street 2:SUITE 260
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2625
Practice Address - Country:US
Practice Address - Phone:314-236-5001
Practice Address - Fax:314-569-0552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLC1173127253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care