CCRC - LAKE PORT SQUARE, LLC

Skilled Nursing Facility

Active Organization
NPI: 1073927331

Practice Address

701 LAKE PORT BLVD
Leesburg, FL 34748

Phone: (352) 728-3366

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes -

Frequently Asked Questions

NPI 1073927331 is the National Provider Identifier for CCRC - LAKE PORT SQUARE, LLC, a Skilled Nursing Facility provider located in Leesburg, FL. This NPI was enumerated on June 16, 2014.

Quick Facts

NPI
1073927331
Type
Organization
Enumerated
Jun 16, 2014
Last Updated
Jan 19, 2026

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