Flourish

LBN: Flourish Foundation
Flourish is an health care organization with primary practice located at 172 Water Oak Way , Dallas GA 30157-8562. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Home Health. Agencies / Case Management is the primary health care specialty. Flourish Foundation can be contacted via phone (480) 286-8603, or through Tidwell, Jonta Delisa via phone (480) 286-8603.

Contact Information

Primary practice address
172 Water Oak Way Dallas GA 30157-8562
Phone: (480) 286-8603
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tidwell, Jonta Delisa
Phone: (480) 286-8603

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Home Health 251E00000X

Profile Details

NPI number 1740042605
LBN Legal business name Flourish Foundation
DBA Doing business as Flourish
Authorized official Tidwell, Jonta Delisa
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2024
Last updated Jan 26th, 2024 - about 11 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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