Sandy Park Developmental Center
LBN: Florida Preferred Care Developmental Centers I, Inc.
Sandy Park Developmental Center is an health care organization with primary practice located at 2975 Garden St , N Ft Myers FL 33917-1883. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty.
Florida Preferred Care Developmental Centers I, Inc. can be contacted via phone (239) 995-5833, or through Collier, Jamie Latture via phone (972) 931-3800.
Contact Information
Primary practice address
2975 Garden St
N Ft Myers FL 33917-1883
Phone: (239) 995-5833
Fax: (239) 995-4856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded | 315P00000X | 4071095 | Florida |
Profile Details
| NPI number | 1427030253 |
|---|---|
| LBN Legal business name | Florida Preferred Care Developmental Centers I, Inc. |
| DBA Doing business as | Sandy Park Developmental Center |
| Authorized official | Collier, Jamie Latture |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jul 11th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427030253 | NPPES |
| Florida | MEDICAID | 028000300 |
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