Basic Information
Provider Information
NPI: 1245385582
EntityType: 2
ReplacementNPI:  
OrganizationName: BETTER AT HOME
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2441 E FORT KING ST
Address2:  
City: OCALA
State: FL
PostalCode: 344712558
CountryCode: US
TelephoneNumber: 3526948100
FaxNumber: 3526948118
Practice Location
Address1: 2441 E FORT KING ST
Address2:  
City: OCALA
State: FL
PostalCode: 344712558
CountryCode: US
TelephoneNumber: 3526948100
FaxNumber: 3526948118
Other Information
ProviderEnumerationDate: 01/25/2007
LastUpdateDate: 01/17/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: YANCEY
AuthorizedOfficialFirstName: PATRICIA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: ADMINISTRATOR
AuthorizedOfficialTelephone: 3526948100
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251E00000X  Y AgenciesHome Health 

No ID Information.


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