- Enrollment id
- O20220318002161
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1851825889
- Multiple npi flag
- N
- Ccn
- 757200
- Associate id
- 2769870807
- Organization name
- BETTER LIFE HOME HEALTH CARE, INC.
- Incorporation date
- 2017-03-30
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 600 W BROADWAY
- Address line 2
- STE 260
- City
- GLENDALE
- State
- CA
- Zip code
- 912041039