Provider Demographics
NPI:1073288700
Name:FLOWER OF LIFE EMPOWERMENT CENTER INC
Entity Type:Organization
Organization Name:FLOWER OF LIFE EMPOWERMENT CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:DELOIS
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:BS, QMHA
Authorized Official - Phone:702-335-6216
Mailing Address - Street 1:408 VILLA ESPANA WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-2805
Mailing Address - Country:US
Mailing Address - Phone:702-335-6216
Mailing Address - Fax:
Practice Address - Street 1:5423 SUNNYVILLE ST
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-7986
Practice Address - Country:US
Practice Address - Phone:702-335-6216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health