Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peggy Mary Grogan

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1235883075

Peggy Mary Grogan is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Deland, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

1721 Timber Edge Dr
Deland, FL 32724-7985
Phone: (386) 589-6313
Fax: (386) 626-2675
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence 12-12-010 (FL)

Record details

NPI number1235883075
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 10, 2022
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022

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