Provider Demographics
NPI:1134907983
Name:BETTER LIVING WELLNESS LLC.
Entity type:Organization
Organization Name:BETTER LIVING WELLNESS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DONIESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-672-6478
Mailing Address - Street 1:6271 GOLDEN RAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-1833
Mailing Address - Country:US
Mailing Address - Phone:702-672-6478
Mailing Address - Fax:
Practice Address - Street 1:7725 N 43RD AVE STE 621
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-5772
Practice Address - Country:US
Practice Address - Phone:628-934-3784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center