YOHANNES FISSIHA

PORT ORANGE, FL
NPI1295346690
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy310400000X Assisted Living Facility
(Licence: FL  AL6084)
Enumeration Date2020-08-11
Last Update Date2020-08-11
Business Address
YOHANNES FISSIHA
401 ORANGE AVE
PORT ORANGE, FL 32127-4444
Phone number: 386-767-6268
Mailing Address
YOHANNES FISSIHA
401 ORANGE AVE
PORT ORANGE, FL 32127-4444
Phone number: 386-761-6268