Provider Demographics
NPI:1881972701
Name:A BETTER PERSONAL CARE INC
Entity type:Organization
Organization Name:A BETTER PERSONAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXC.DIRECTOR OPER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BROOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-664-6989
Mailing Address - Street 1:3115 N GOVERNMENT WAY STE 2
Mailing Address - Street 2:
Mailing Address - City:COEUR D'ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815
Mailing Address - Country:US
Mailing Address - Phone:208-664-6989
Mailing Address - Fax:
Practice Address - Street 1:3115 N GOVERNMENT WAY STE 2
Practice Address - Street 2:
Practice Address - City:COEUR D'ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815
Practice Address - Country:US
Practice Address - Phone:208-664-6989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-26
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDM0026755Medicaid
IDM8056273Medicaid
IDM8056282Medicaid