Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY PETERSON, ADMINISTRATOR
Active Sole ProprietorMARY PETERSON, ADMINISTRATOR is a Assisted Living Facility healthcare provider located in JACKSONVILLE, Florida. NPI 1063221646 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1063221646
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 7, 2025 (1.5863809639456 yrs)
- Last Updated
- Jan 7, 2025
- License
-
8638 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1622 SILVER STJACKSONVILLE, FL, 322064446Browse FL providers · Browse ZIP 32206
- Phone
- 9043563022
- Fax
- 9043509165
- Primary Specialty
-
Assisted Living Facility
310400000X
Other Assisted Living Facility Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. BETTY J. CRUSAW | ADMIN.OWNER | 1598975104 |
| MS. STEPHANIE L BELLAMY | — | 1801198460 |
| MS. ROSEMARIE E BACHER | — | 1659669117 |
| MRS. LANISHA J HOLLOWAY | — | 1497039143 |
| STEFFANIE JONES | — | 1063875003 |
| CORTNEY IRENE MATTHEWS | — | 1831697218 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.