Peterson Family Care, Llc

LBN: Peterson Family Care, Llc
Peterson Family Care, Llc is an health care organization with primary practice located at 3507 Lee Blvd Ste 273 , Lehigh Acres FL 33971-1323. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Peterson Family Care, Llc can be contacted via phone (239) 770-4235, or through Peterson, Chevone L. via phone (239) 770-4235.

Contact Information

Primary practice address
3507 Lee Blvd Ste 273 Lehigh Acres FL 33971-1323
Fax: (888) 203-0442
Website:
Authorized official contact:
Name: Peterson, Chevone L.

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1962979369
LBN Legal business name Peterson Family Care, Llc
DBA Doing business as
Authorized official Peterson, Chevone L.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2018
Last updated Jan 28th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962979369 NPPES
Florida MEDICAID 009279700

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