Individual ProviderLinda OvertonLicensed Practical NurseNursing Service ProvidersPractice Address114 Rider Ave Apt 2, Patchogue, NY 11772-39011631575043(631) 575-0437PECOS EnrollmentBased on the most recent information from CMS, provider Linda Overton does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1093195752Provider TypeIndividualFull NameOverton, LindaGenderFemaleSole ProprietorYesEnumeration Date6/8/2015Last Updated6/8/2015Contact InformationPractice LocationPractice Address114 Rider Ave Apt 2, Patchogue, NY 11772-3901Phone1631575043FaxUnlisted FaxMailing LocationMailing Address114 Rider Ave Apt 2, Patchogue, NY 11772-3901Phone(631) 575-0437FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense7567747New York