Leticia Fagan is a Home Health Agency based in Altamonte Springs, FL. Leticia Fagan practices in Altamonte Springs, FL. The NPI Number for Leticia Fagan is 1801490370 and holds a License No. (Florida).
The current practice location address for Leticia Fagan is 703 Walnut Pl, Altamonte Springs, FL and can be reached out via phone at 305-343-3003.
Location: 703 Walnut Pl, Altamonte Springs, FL, 32701-6458
Provider Profile Details
NPI Number
1801490370
Provider Name
Leticia Fagan
Credential
Provider Entity Type
Individual
Gender
Female
Address
703 Walnut Pl, Altamonte Springs, FL, 32701-6458
Phone Number
305-343-3003
Fax Number
Provider Enumeration Date
11/25/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
703 Walnut Pl
City
State
Zip
32701-6458
Phone Number
305-343-3003
Fax Number
Provider Business Mailing Address Details
Address
703 Walnut Pl
City
State
Zip
32701-6458
Phone Number
305-343-3003
Fax Number
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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