Provider Demographics
NPI:1992269153
Name:PATIENTLY CARING SERVICE PROVIDERS LLC
Entity type:Organization
Organization Name:PATIENTLY CARING SERVICE PROVIDERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-510-3152
Mailing Address - Street 1:1905 LAVON ST
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-2553
Mailing Address - Country:US
Mailing Address - Phone:863-510-3152
Mailing Address - Fax:863-937-7282
Practice Address - Street 1:1905 LAVON ST
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-2553
Practice Address - Country:US
Practice Address - Phone:863-510-3152
Practice Address - Fax:863-937-7282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care