Individual provider · NPI-1
Tabitha Bentley
Technician, Personal Care Attendant · Ocoee, FL
NPI number1942056155
StatusActive
Last updated in NPPESApr 29, 2024
Details
- NPI
- 1942056155
- Entity type
- Individual (NPI-1)
- Name
- Tabitha Bentley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 29, 2024
- Certification date
- Apr 28, 2024
- Last updated
- Apr 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 251E00000X | Home Health | – | – |
Practice location
2781 Tall Maple LoopOcoee, FL 34761-7627
Phone 321-418-0258
Mailing address
2781 Tall Maple LoopOcoee, FL 34761-7627
Phone 321-418-0258
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