Yohannes Fissiha
Yohannes Fissiha is an Assisted Living Facility in Port Orange, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2020
Practice location Address checks out
401 Orange AvePort Orange, FL 32127-4444
Phone: (386) 767-6268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence AL6084 (FL) |
|---|
Record details
| NPI number | 1295346690 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 11, 2020 |
| Last updated in NPPES | August 11, 2020 |
| Certification date | August 11, 2020 |
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