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Organization

CCRC - SOUTH PORT SQUARE, LLC

Active
Other names
Harbour Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
NOAH ARCE (ADMINISTRATOR)
(941) 625-1100
Entity
Organization

Contact information

Practice address
23013 WESTCHESTER BLVD, PORT CHARLOTTE, FL 33980-8448
(941) 625-1220
Mailing address
1920 MAIN ST STE 1200, IRVINE, CA 92614-7230
(949) 407-0700

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
06/12/2014
Last updated
01/19/2026
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