Ccrc - South Port Square, LLC
NPI #1376957803 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1376957803
- Entity Type
- Organization
- Organization Name
- Ccrc - South Port Square, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 12, 2014
- Last Updated
- Jan 19, 2026
Practice Location
- Address
- 23013 WESTCHESTER BLVD
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33980-8448
- Phone
- (941) 625-1220
Authorized Official
- Name
- NOAH ARCE
- Title
- ADMINISTRATOR
- Phone
- (941) 625-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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