Individual
ADINA LOUISE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
10-2907GH
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
10-2907GH
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46-4323410
—
FL
Enumeration date
08/16/2018
Last updated
01/12/2021
Update your record
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