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Mrs. Lucille Shama Nankissore
Assisted Living Facility in Kissimmee, Florida
NPI 1699179507

Lucille Shama Nankissore is an Assisted Living Facility based in Kissimmee, FL. Lucille Shama Nankissore practices in Kissimmee, FL. The NPI Number for Lucille Shama Nankissore is 1699179507 and holds a License No. AL12570 (Florida).

The current practice location address for Lucille Shama Nankissore is 2941 Dana Ln, Kissimmee, FL and can be reached out via phone at 407-201-4095. You can also correspond with Lucille Shama Nankissore through the mailing address at 2941 DANA LN, KISSIMMEE, FL - 34744-5016 (mailing address contact number: 407-201-4095).

Location: 2941 Dana Ln, Kissimmee, FL, 34744-5016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699179507
Provider Name
Lucille Shama Nankissore
Credential
Provider Entity Type
Individual
Gender
Female
Address
2941 Dana Ln, Kissimmee, FL, 34744-5016
Phone Number
407-201-4095
Fax Number
Provider Enumeration Date
10/21/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AL12570 05 FL
institution
Provider Business Practice Location Address Details
Address
2941 Dana Ln
City
Kissimmee
State
Florida
Zip
34744-5016
Phone Number
407-201-4095
Fax Number
person
Provider Business Mailing Address Details
Address
2941 Dana Ln
City
Kissimmee
State
Florida
Zip
34744-5016
Phone Number
407-201-4095
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL12570 (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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