Organization
IMPAC COMMUNITY DEVELOPMENT, INC
Active
Other names
Senior Access Modifications
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN C TROY (PRESIDENT)
(407) 375-2100
Entity
Organization
Contact information
Practice address
499 N STATE ROAD 434, SUITE 2059, ALTAMONTE SPRINGS, FL 32714-2142
(407) 375-2100
(407) 682-0204
Mailing address
499 N STATE ROAD 434, SUITE 2059, ALTAMONTE SPRINGS, FL 32714-2142
(407) 375-2100
(407) 682-0204
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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