1457848095 NPI number — A BETTER SOLUTION INC

Table of content: (NPI 1457848095)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457848095 NPI number — A BETTER SOLUTION INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A BETTER SOLUTION INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457848095
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/19/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2877
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RIVERVIEW
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33568-2877
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-928-7939
Provider Business Mailing Address Fax Number:
888-482-2405

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
220 SUNSET RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILLINGBORO
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08046-1126
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-928-7939
Provider Business Practice Location Address Fax Number:
888-482-2405
Provider Enumeration Date:
04/19/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KINCER
Authorized Official First Name:
SUE
Authorized Official Middle Name:
D
Authorized Official Title or Position:
ADMINISTRATION
Authorized Official Telephone Number:
813-928-7939

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)