Provider Demographics
NPI:1104057561
Name:A BETTER LIFE CHRISTIAN FAMILY CARE, LLC
Entity type:Organization
Organization Name:A BETTER LIFE CHRISTIAN FAMILY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ERNESTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-275-2590
Mailing Address - Street 1:PO BOX 16332
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27416-0332
Mailing Address - Country:US
Mailing Address - Phone:336-275-2590
Mailing Address - Fax:336-275-3607
Practice Address - Street 1:1030 ALAMANCE CT
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-3806
Practice Address - Country:US
Practice Address - Phone:336-275-2590
Practice Address - Fax:336-275-3607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL-041-066311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCFCL041066OtherSTATE LICENSE NUMBER