Organization · Type 2 NPI
Progressive Health Care Providers/fern Park, LLC
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fern Park, FL
Practice location
230 Fern Park Blvd
Fern Park, FL 32730-2500
Fax (407) 331-9251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 4022095 (FL) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1447259254
Progressive Health Care Providers/fern Park, LLC's National Provider Identifier is 1447259254, issued on Jul 14, 2005. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Fern Park, FL. The record was last updated on Aug 22, 2020.