NPI 1558190173

Peace River Center for Pesonal Development, INC.

Organisation Special Hospital Bartow, FL

Practice location

Address: 1255 Golfview Ave, Bartow, FL 33830-6736
Phone: (863) 519-0575
Fax: (863) 582-9251
Mailing address: PO Box 1559, Bartow, FL 33831-1559

Authorised official

Name: Jo Deck
Title: Credentialing Specialist
Phone: (863) 519-0575

Registered specialties

Special Hospital Primary

Hospitals Taxonomy 284300000X

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Registry record

NPI: 1558190173
Entity type: Organization
NPI issued: 31 Jul 2024
Record last updated: 31 Jul 2024

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.