MEDICARE: MS. LETSEY EARLDINE PERRIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1730047127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LETSEY EARLDINE PERRIN

Provider Business Mailing Address
First Line	:	267 WILSON AVE
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-7846
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	267 WILSON AVE
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-7846
Country	:	US
Telephone Number	:	567-312-1224
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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