| NPI | 1447259254 |
|---|---|
| Doing Business As | FERN PARK DEVELOPMENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | TERRY REVELL Administrator 407-331-7231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 4022095) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-08-22 |