Harris, Adina Louise

Harris, Adina Louise is an sole proprietor health care provider with primary practice located at 7450 Nw 51St St , Lauderhill FL 33319-6303. She recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is her primary health care specialty. Harris, Adina Louise can be contacted via phone (954) 742-3707.

Contact Information

Primary practice address
7450 Nw 51St St Lauderhill FL 33319-6303
Phone: (954) 742-3707
Fax: (954) 741-8773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 10-2907GH Florida
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 10-2907GH Florida

Profile Details

NPI number 1285114546
LBN Legal business name Harris, Adina Louise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2018
Last updated Jan 12th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285114546 NPPES
Florida MEDICAID 46-4323410

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