# OSCEOLA DEVELOPMENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700301678
- **Authorized official:** CARLOS I RODRIGUEZ (ADM)
- **Authorized official phone:** (407) 350-5964

## Contact information

- **Practice address:** 229 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4983
- **Practice address phone:** (407) 350-5964
- **Practice address fax:** (407) 442-0737
- **Mailing address:** 229 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4983
- **Mailing address phone:** (407) 350-5964
- **Mailing address fax:** (407) 442-0737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | — |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | — | — |
| 385H00000X | Respite Care | — | FL | — |
| 385H00000X | Respite Care | — | — | Yes |
| 385HR2065X | Child Physical Disabilities Respite Care | — | — | — |

## Other

- **Enumeration date:** 08/11/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 006601300 | — | FL |