Fagan, Leticia

Fagan, Leticia is an sole proprietor health care provider with primary practice located at 703 Walnut Pl , Altamonte Springs FL 32701-6458. She recently has 5 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Agencies / Home Health. Agencies / Home Health is her primary health care specialty. Fagan, Leticia can be contacted via phone (305) 343-3003.

Contact Information

Primary practice address
703 Walnut Pl Altamonte Springs FL 32701-6458
Phone: (305) 343-3003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Agencies / Home Health 251E00000X

Profile Details

NPI number 1801490370
LBN Legal business name Fagan, Leticia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2020
Last updated Jan 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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