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Mrs. Nicetas Gagan Mora
Assisted Living Facility in Seminole, Florida
NPI 1598237695

Nicetas Gagan Mora is an Assisted Living Facility based in Pinellas Park, FL. Nicetas Gagan Mora practices in Seminole, FL. The NPI Number for Nicetas Gagan Mora is 1598237695 and holds a License No. 8295 (Florida).

The current practice location address for Nicetas Gagan Mora is 9670 134Th St, Seminole, FL and can be reached out via phone at 727-596-3266 and via fax at 727-754-7670.

Location: 9670 134Th St, Seminole, FL, 33782-5137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598237695
Provider Name
Nicetas Gagan Mora
Credential
Provider Entity Type
Individual
Gender
Female
Address
9670 134Th St, Seminole, FL, 33782-5137
Phone Number
727-596-3266
Fax Number
727-754-7670
Provider Enumeration Date
12/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9670 134Th St
City
Seminole
State
Florida
Zip
33776-1447
Phone Number
727-596-3266
Fax Number
727-754-7670
person
Provider Business Mailing Address Details
Address
9670 134Th St
City
Seminole
State
Florida
Zip
33776-1447
Phone Number
727-596-3266
Fax Number
727-754-7670
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
8295 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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