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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

YOHANNES FISSIHA

Active Sole Proprietor

YOHANNES FISSIHA is a Assisted Living Facility healthcare provider located in PORT ORANGE, Florida. NPI 1295346690 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · PORT ORANGE, FL

Registration Details

NPI Number
1295346690
Provider Type
Individual
Gender
Male
NPI Issued
Aug 11, 2020 (6.0001821235642 yrs)
Last Updated
Aug 11, 2020
License
AL6084 (FL)
Sole Proprietor
Yes

Practice Information

Address
401 ORANGE AVE
PORT ORANGE, FL, 321274444
Browse FL providers · Browse ZIP 32127
Phone
3867676268
Primary Specialty
Assisted Living Facility
310400000X

Other Assisted Living Facility Providers in PORT ORANGE, FL

Name Credential NPI
MALGORZATA PTAK 1295299451
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.