# PATRIOT HOMECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134671068
- **Authorized official:** MRS. LYNESSA BETTS (OWNER)
- **Authorized official phone:** (804) 721-8047

## Contact information

- **Practice address:** 6900 TAVISTOCK LAKES BLVD, SUITE 400, ORLANDO, FL 32827-7589
- **Practice address phone:** (321) 209-8677
- **Practice address fax:** (407) 264-8601
- **Mailing address:** 6900 TAVISTOCK LAKES BLVD, SUITE 400, ORLANDO, FL 32827-7589
- **Mailing address phone:** (321) 209-8677
- **Mailing address fax:** (407) 264-8601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 299994587 | FL | Yes |

## Other

- **Enumeration date:** 10/26/2016
- **Last updated:** 10/26/2016