institution
Progressive Health Care Providers/fern Park, Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fern Park, Florida
NPI 1447259254

Progressive Health Care Providers/fern Park, Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Fern Park, FL. Progressive Health Care Providers/fern Park, Llc practices in Fern Park, FL. The NPI Number for Progressive Health Care Providers/fern Park, Llc is 1447259254 and holds a License No. 4022095 (Florida).

The current practice location address for Progressive Health Care Providers/fern Park, Llc is 230 Fern Park Blvd, Fern Park, FL and can be reached out via phone at 407-331-7231 and via fax at 407-331-9251. You can also correspond with Progressive Health Care Providers/fern Park, Llc through the mailing address at 230 FERN PARK BLVD, FERN PARK, FL - 32730-2500 (mailing address contact number: 407-331-7231).

Location: 230 Fern Park Blvd, Fern Park, FL, 32730-2500
institution
Provider Profile Details
NPI Number
1447259254
Provider Name
Progressive Health Care Providers/fern Park, Llc
Credential
Provider Entity Type
Organization
Address
230 Fern Park Blvd, Fern Park, FL, 32730-2500
Phone Number
407-331-7231
Fax Number
407-331-9251
Provider Enumeration Date
07/14/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4022095 01 FL ICF/DD LICENSE
institution
Provider Business Practice Location Address Details
Address
230 Fern Park Blvd
City
State
Zip
32730-2500
Phone Number
407-331-7231
Fax Number
407-331-9251
person
Provider Business Mailing Address Details
Address
230 Fern Park Blvd
City
State
Zip
32730-2500
Phone Number
407-331-7231
Fax Number
407-331-9251
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
4022095 (Florida)
Definition
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.