Individual provider · Type 1 NPI
Jason Petersen
Assisted Living Facility · Brooksville, FL
NPI number
1669041356
Active
Practice location
5483 Neff Lake Rd
Brooksville, FL 34601-7842
Mailing address
21107 Bircholm Ct
Land O Lakes, FL 34637-7464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 11821 (FL) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2 other providers at this address
Other assisted living facility providers in Brooksville
About NPI 1669041356
Jason Petersen's National Provider Identifier is 1669041356, issued on Jun 18, 2021. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Brooksville, FL. The record was last updated on Jun 18, 2021.