CCRC - SOUTH PORT SQUARE, LLC

Skilled Nursing Facility

Active Organization
NPI: 1376957803

Practice Address

23013 WESTCHESTER BLVD
Port Charlotte, FL 33980

Phone: (941) 625-1220

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes -

Frequently Asked Questions

NPI 1376957803 is the National Provider Identifier for CCRC - SOUTH PORT SQUARE, LLC, a Skilled Nursing Facility provider located in Port Charlotte, FL. This NPI was enumerated on June 12, 2014.

Quick Facts

NPI
1376957803
Type
Organization
Enumerated
Jun 12, 2014
Last Updated
Jan 19, 2026

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