Provider Demographics
NPI:1831597574
Name:BETTER LIFE ACTIVITY CENTER
Entity type:Organization
Organization Name:BETTER LIFE ACTIVITY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:EJIM
Authorized Official - Last Name:UZOWULU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-240-6684
Mailing Address - Street 1:12817 GULF FREEWAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034
Mailing Address - Country:US
Mailing Address - Phone:281-412-4475
Mailing Address - Fax:281-412-4684
Practice Address - Street 1:12817 GULF FREEWAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034
Practice Address - Country:US
Practice Address - Phone:713-240-6684
Practice Address - Fax:281-530-3590
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETTER LIFE HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care