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PEGGY MARY GROGAN
NPI 1235883075
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Deland, FL

Active since February 10, 2022
1721 TIMBER EDGE DR, DELAND, FL 32724(386) 589-6313(386) 626-2675 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Peggy Mary Grogan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEGGY MARY GROGAN (NPI 1235883075) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Deland, Florida, licensed in Florida (12-12-010) and active in the NPI registry since February 2022.Information from the official NPPES registry record, last updated February 10, 2022.

NPPES Registry Identity

NPI1235883075
Entity TypeIndividualFemale
Provider Legal NamePEGGY MARY GROGAN
Location Address1721 TIMBER EDGE DRDeland, FL 32724-7985
Mailing Address1721 Timber Edge DrDeland, FL 32724-7985 · (386) 589-6313 · Fax (386) 626-2675
Phone(386) 589-6313
Fax(386) 626-2675
Sole ProprietorYes
Enumeration DateFebruary 10, 2022
NPPES CertifiedFebruary 10, 2022
✔ NPI 1235883075 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy 320900000X · Residential Treatment Facilities

✔ Licensed in FL · 12-12-010

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

1721 TIMBER EDGE DR, Deland, FL 32724
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Reviews for PEGGY MARY GROGAN

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Frequently Asked Questions

What is Peggy Grogan's NPI number?

The NPI number assigned to this healthcare provider is 1235883075, enumerated as an "individual" on February 10, 2022.

Where is the provider located?

The provider is located at 1721 TIMBER EDGE DR DELAND, FL 32724 and the phone number is (386) 589-6313.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.