Organization
CCRC DEVELOPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN J SMAAGE NHA (DIRECTOR OF HEALTH SERVICES)
(407) 543-6951
Entity
Organization
Contact information
Practice address
2110 HESTIA LOOP, OVIEDO, FL 32765-9274
(407) 543-6951
Mailing address
2110 HESTIA LOOP, OVIEDO, FL 32765-9274
(407) 543-6350
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
03/07/2024
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