Organization
BETTYS DISTICTIVENESS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTY JEAN RILEY CNA (OWNER)
(786) 346-3613
Entity
Organization
Contact information
Practice address
23842 SW 107TH CT, HOMESTEAD, FL 33032-6163
(786) 346-6374
Mailing address
23842 SW 107TH CT, HOMESTEAD, FL 33032-6163
(786) 346-6374
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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