NPI 1265187728

Peace River Center for Personal Development INC

Organisation Case Management Agency Lakeland, FL

Practice location

Address: 230 S Lake Parker Ave, Lakeland, FL 33801-5742
Phone: (863) 519-0575
Mailing address: PO Box 1559, Bartow, FL 33831-1559

Authorised official

Name: Jo Deck
Title: Credentialing Sp;ecialist
Phone: (863) 519-0575

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1265187728
Entity type: Organization
NPI issued: 14 Feb 2022
Record last updated: 24 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.