Individual provider · Type 1 NPI

Alicia Fennell

Skilled Nursing Facility · Kissimmee, FL

NPI number 1104197151 Active

Practice location

1120 W Donegan Ave
Kissimmee, FL 34741-2247

Mailing address

534 Eagle Ct
Kissimmee, FL 34759-4442

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XOTA 11659 (FL)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

17 other providers at this address

About NPI 1104197151

Alicia Fennell's National Provider Identifier is 1104197151, issued on Jan 23, 2012. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Kissimmee, FL. The record was last updated on Jan 23, 2012.