MEDICARE: BETPAT CORPORATION

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	HC4278	NC

General Provider Information

NPI Number	:	1760769962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETPAT CORPORATION

Provider Business Mailing Address
First Line	:	1616 EVANS RD
Second Line	:	STE 160
City	:	CARY
State	:	NC
Zip	:	27513-9653
Country	:	US
Telephone Number	:	919-650-2784
Fax Number	:	919-650-2786

Provider Business Practice Location Address
First Line	:	1616 EVANS RD
Second Line	:	STE 160
City	:	CARY
State	:	NC
Zip	:	27513-9653
Country	:	US
Telephone Number	:	919-650-2784
Fax Number	:	919-650-2786

Authorized Official
Title or Position	:	SECRETARY TREASURER
Name	:	KATHLEEN BRENNAN
Credential	:
Telephone Number	:	919-650-2784

Provider Enumeration Date	:	11/16/2011
Last Update Date	:	11/16/2011

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Directions to “BETPAT CORPORATION ” Practice Location

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