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Jason Petersen
Assisted Living Facility in Brooksville, Florida
NPI 1669041356

Jason Petersen is an Assisted Living Facility based in Land O Lakes, FL. Jason Petersen practices in Brooksville, FL. The NPI Number for Jason Petersen is 1669041356 and holds a License No. 11821 (Florida).

The current practice location address for Jason Petersen is 5483 Neff Lake Rd, Brooksville, FL and can be reached out via phone at 720-244-9712.

Location: 5483 Neff Lake Rd, Brooksville, FL, 34637-7464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669041356
Provider Name
Jason Petersen
Credential
Provider Entity Type
Individual
Gender
Male
Address
5483 Neff Lake Rd, Brooksville, FL, 34637-7464
Phone Number
720-244-9712
Fax Number
Provider Enumeration Date
06/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5483 Neff Lake Rd
City
Brooksville
State
Florida
Zip
34601-7842
Phone Number
720-244-9712
Fax Number
person
Provider Business Mailing Address Details
Address
5483 Neff Lake Rd
City
Brooksville
State
Florida
Zip
34601-7842
Phone Number
720-244-9712
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
11821 (Florida)
Definition
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.
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