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Organization
OSCEOLA DEVELOPMENTAL CENTER
Active
Organization
OSCEOLA DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS I RODRIGUEZ (ADM)
(407) 350-5964
Entity
Organization
Contact information
Practice address
229 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4983
(407) 350-5964
(407) 442-0737
Mailing address
229 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4983
(407) 350-5964
(407) 442-0737
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
385H00000X
Respite Care
—
FL
385H00000X
Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006601300
—
FL
Enumeration date
08/11/2017
Last updated
07/21/2022
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