Organization
A BETTER LIFE EXPERIENCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN WILSON (PRESIDENT)
(303) 920-9279
Entity
Organization
Contact information
Practice address
2764 COMPASS DR # 150, GRAND JUNCTION, CO 81506-8722
(970) 263-8811
(970) 263-7463
Mailing address
550 THORNTON PKWY UNIT 118, THORNTON, CO 80229-2166
(303) 920-9279
(303) 920-1018
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21453039
—
CO
Enumeration date
10/19/2016
Last updated
10/19/2016
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