Provider Demographics
NPI:1992310395
Name:ALADIN, GASNA
Entity type:Individual
Prefix:
First Name:GASNA
Middle Name:
Last Name:ALADIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3425 SW RIVERA ST
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-3763
Mailing Address - Country:US
Mailing Address - Phone:516-943-2579
Mailing Address - Fax:772-877-2914
Practice Address - Street 1:3425 SW RIVERA ST
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-3763
Practice Address - Country:US
Practice Address - Phone:516-943-2579
Practice Address - Fax:772-877-2914
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-11
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility