Progressive Health Care Providers/FERN Park, LLC
Progressive Health Care Providers/FERN Park, LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fern Park, Florida. Licensed in Florida. Registered with an NPI since 2005.
- Licensed in
- FL
- In the registry since
- 2005
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
230 Fern Park BlvdFern Park, FL 32730-2500
Phone: (407) 331-7231
Fax: (407) 331-9251
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 4022095 (FL) |
|---|
Record details
| NPI number | 1447259254 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Terry Revell — Administrator · (407) 331-7231 |
| Other names | Fern Park Developmental Center |
| NPI enumerated | July 14, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 230 Fern Park Blvd, Fern Park, FL 32730-2500 |