Provider Demographics
NPI:1629883624
Name:ACOSTA-HORTON, CECILIA
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:
Last Name:ACOSTA-HORTON
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 1:14 SHAWMUT AVE
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01778-4812
Mailing Address - Country:US
Mailing Address - Phone:774-462-9463
Mailing Address - Fax:
Practice Address - Street 1:14 SHAWMUT AVE
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:MA
Practice Address - Zip Code:01778-4812
Practice Address - Country:US
Practice Address - Phone:774-462-9463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion