Progressive Health Care Providers/fern Park, LLC
NPI #1447259254 in Fern Park, Florida
Provider Information
- NPI Number
- 1447259254
- Entity Type
- Organization
- Organization Name
- Progressive Health Care Providers/fern Park, LLC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jul 14, 2005
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. TERRY REVELL
- Title
- ADMINISTRATOR
- Phone
- (407) 331-7231
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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