Doctor Name: | SECONIA ADAMS |
NPI Number: | 1093046989 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 7528 Sw 7th Pl North Lauderdale, FL - 330681311 |
Business Phone Number: | 9547248273 |
Business Fax Number: | 9547248273 |
Mailing Address: | 7528 Sw 7th Pl, NORTH LAUDERDALE |
State: | FL |
Postal Code: | 330681311 |
Phone Number: | 9547248273 |
Fax Number: | 9547248273 |
NPI Enumeration Date: | 01/17/2010 |
NPI Last Update Date: | 01/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |