Organization
PATRIOT HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNESSA BETTS (OWNER)
(804) 721-8047
Entity
Organization
Contact information
Practice address
6900 TAVISTOCK LAKES BLVD, SUITE 400, ORLANDO, FL 32827-7589
(321) 209-8677
(407) 264-8601
Mailing address
6900 TAVISTOCK LAKES BLVD, SUITE 400, ORLANDO, FL 32827-7589
(321) 209-8677
(407) 264-8601
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
299994587
FL
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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