Individual provider · Type 1 NPI
Yohannes Fissiha
Assisted Living Facility · Port Orange, FL
NPI number
1295346690
Active
Practice location
401 Orange Ave
Port Orange, FL 32127-4444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | AL6084 (FL) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2 other providers at this address
Other assisted living facility providers in Port Orange
About NPI 1295346690
Yohannes Fissiha's National Provider Identifier is 1295346690, issued on Aug 11, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Port Orange, FL. The record was last updated on Aug 11, 2020.