Leticia Fagan
Leticia Fagan is a Physical Disabilities Residential Treatment Facility in Altamonte Springs, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 5
Practice location Address checks out
703 Walnut PlAltamonte Springs, FL 32701-6458
Phone: (305) 343-3003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X |
|---|---|
| Physical Disabilities Residential Treatment Facility | Taxonomy 320700000X |
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
| Emotionally Disturbed Childrens' Residential Treatment Facility | Taxonomy 322D00000X |
Record details
| NPI number | 1801490370 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 25, 2020 |
| Last updated in NPPES | January 7, 2021 |
| Certification date | December 2, 2020 |