PROGRESSIVE HEALTH CARE PROVIDERS/FERN PARK, LLC is a residential treatment facility, intellectual and/or developmental disabilities in Fern Park, FL. The provider is 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. PROGRESSIVE HEALTH CARE PROVIDERS/FERN PARK, LLC NPI is 1447259254. The provider is registered as an organization entity type.
The provider Is Doing Business As Fern Park Developmental Center.
The provider's business location address is:
230 FERN PARK BLVD
FERN PARK, FL
ZIP 32730-500
Phone: (407) 331-7231
Fax: (407) 331-9251
The provider's authorized official is Terry Revell .
The authorized official title is Administrator and has the following contact phone number (407) 331-7231.
The CLIA number assigned to this NPI record is 10D1052571 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/14/2005 and was last updated on 8/22/2020.