Leticia Fagan
NPI #1801490370 in Altamonte Springs, Florida
Provider Information
- NPI Number
- 1801490370
- Entity Type
- Individual
- Name
- Leticia Fagan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health
- Enumeration Date
- Nov 25, 2020
- Last Updated
- Jan 7, 2021
Practice Location
- Address
- 703 WALNUT PL
- State
- Florida
- ZIP Code
- 32701-6458
- Phone
- (305) 343-3003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Physical Disabilities |
| Community Based Residential Treatment Facility, Mental Illness |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Residential Treatment Facility, Emotionally Disturbed Children |
| Home Health |
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