Provider Demographics
NPI:1306687033
Name:BETTERHEALTHCLINIC,LLC
Entity type:Organization
Organization Name:BETTERHEALTHCLINIC,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEVODIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-595-4438
Mailing Address - Street 1:501 S KEENELAND DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-3233
Mailing Address - Country:US
Mailing Address - Phone:859-575-7305
Mailing Address - Fax:859-575-7306
Practice Address - Street 1:501 S KEENELAND DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-3233
Practice Address - Country:US
Practice Address - Phone:859-575-7305
Practice Address - Fax:859-575-7306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center