National Provider Identifier Database

GANIELLE M PETERSON, ASSISTED LIVING ADMN – NPI #1285241489
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

GANIELLE M PETERSON, ASSISTED LIVING ADMN
2773 SE CLARETON TER
PORT SAINT LUCIE, FL34952-6621
Phone: 954-657-1812
Fax:
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X

* Indicates primary specialty

NPI Profile & details for GANIELLE M PETERSON

NPI Number 1285241489
Credentials ASSISTED LIVING ADMN
Entity Individual
Enumeration date 09/30/2020
Last updated 09/30/2020 - About 6 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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