Organization
CENTRAL FLORIDA COMMUNITIES INC
Active
Other names
Lake View Court
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY W. BANGS (PRESIDENT, DSI MANAGEMENT (MGMT. CO)
(407) 645-3211
Entity
Organization
Contact information
Practice address
920 KENNEDY BLVD, ORLANDO, FL 32810-6128
(407) 660-8600
(407) 475-0279
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
4039096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0285650
—
FL
Enumeration date
12/15/2006
Last updated
02/24/2012
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