Healthcare Provider Details

I. General information

NPI: 1114482254
Provider Name (Legal Business Name): 247 CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2019
Last Update Date: 02/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 LAKE LORINE DR
ORLANDO FL
32808-6122
US

IV. Provider business mailing address

1717 LAKE LORINE DR
ORLANDO FL
32808-6122
US

V. Phone/Fax

Practice location:
  • Phone: 438-764-7975
  • Fax:
Mailing address:
  • Phone: 438-764-7975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANDIE MATHURIN
Title or Position: CEO
Credential:
Phone: 438-764-7975