Provider Demographics
NPI:1871719617
Name:BETTER LIFE
Entity type:Organization
Organization Name:BETTER LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:JAYNE
Authorized Official - Last Name:STAIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-233-3111
Mailing Address - Street 1:1021 W CHERRY AVE
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-3318
Mailing Address - Country:US
Mailing Address - Phone:580-233-3111
Mailing Address - Fax:580-242-3888
Practice Address - Street 1:1021 W CHERRY AVE
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-3318
Practice Address - Country:US
Practice Address - Phone:580-233-3111
Practice Address - Fax:580-242-3888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities