Khadijah D Harris
Khadijah D Harris is a Personal Care Attendant in Mount Dora, Florida. Licensed in Florida. Registered with an NPI since 2021.
- Licensed in
- FL
- In the registry since
- 2021
Practice location Address checks out
1316 N Tremain StMount Dora, FL 32757-3840
Phone: (352) 800-8118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X · Licence CNA354739 (FL) |
|---|
Record details
| NPI number | 1376205849 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 12, 2021 |
| Last updated in NPPES | October 12, 2021 |
| Certification date | October 12, 2021 |
| Mailing address | 1316 N Tremain St, Mount Dora, FL 32757-3840 |