Organization
BETTERLIFE HCS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLAYIDE MODUPE ROPOTUSIN (OWNER)
(817) 881-2613
Entity
Organization
Contact information
Practice address
307 E PIONEER PKWY, GRAND PRAIRIE, TX 75051-4942
(817) 881-2613
(972) 237-7854
Mailing address
307 E PIONEER PKWY, GRAND PRAIRIE, TX 75051-4942
(817) 881-2613
(972) 237-7854
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
372600000X
Adult Companion
—
TX
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
TX
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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