Provider Demographics
NPI:1609455146
Name:ADEQUATE SOCIAL & COMMUNITY SERVICES, INC
Entity Type:Organization
Organization Name:ADEQUATE SOCIAL & COMMUNITY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALMENA
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:954-709-8991
Mailing Address - Street 1:1290 NW 29TH WAY
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33311-5036
Mailing Address - Country:US
Mailing Address - Phone:954-709-8991
Mailing Address - Fax:954-306-3409
Practice Address - Street 1:1290 NW 29TH WAY
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311-5036
Practice Address - Country:US
Practice Address - Phone:954-709-8991
Practice Address - Fax:954-306-3409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty