Provider Demographics
NPI:1528398955
Name:EDNA'S ENTERPRISE, INC
Entity Type:Organization
Organization Name:EDNA'S ENTERPRISE, INC
Other - Org Name:KIANA HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFORTUNE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP 1696722
Authorized Official - Phone:786-295-6067
Mailing Address - Street 1:6749 PETUNIA DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-4850
Mailing Address - Country:US
Mailing Address - Phone:786-295-6067
Mailing Address - Fax:
Practice Address - Street 1:6749 PETUNIA DR
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-4850
Practice Address - Country:US
Practice Address - Phone:786-295-6067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care