Organization
CENTRAL FLORIDA COMMUNITIES INC
Active
Other names
Washington Square
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH H. SCHULTZ (PRESIDENT-DSI MANAGEMENT (MGMT. CO))
(407) 645-3211
Entity
Organization
Contact information
Practice address
1401 US HIGHWAY 1, TITUSVILLE, FL 32796-1391
(321) 268-2252
(321) 268-0181
Mailing address
1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL 32792-2285
(407) 645-3211
(407) 628-2853
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
4100096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0285668
—
FL
Enumeration date
12/15/2006
Last updated
06/02/2014
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