Provider Demographics
NPI:1720728397
Name:PDT COMPASSIONATE CARE & HELPING HANDS LLC.
Entity Type:Organization
Organization Name:PDT COMPASSIONATE CARE & HELPING HANDS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AJA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARTEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-455-6342
Mailing Address - Street 1:421 SUNRISE PKWY
Mailing Address - Street 2:
Mailing Address - City:LAKE WALES
Mailing Address - State:FL
Mailing Address - Zip Code:33853-3222
Mailing Address - Country:US
Mailing Address - Phone:863-455-6342
Mailing Address - Fax:
Practice Address - Street 1:421 SUNRISE PKWY
Practice Address - Street 2:
Practice Address - City:LAKE WALES
Practice Address - State:FL
Practice Address - Zip Code:33853-3222
Practice Address - Country:US
Practice Address - Phone:863-455-6342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health