Provider Demographics
NPI:1073371969
Name:FLOURISH HEALTHCARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:FLOURISH HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:N
Authorized Official - Last Name:NDIKUM-MAWUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:120-252-8980
Mailing Address - Street 1:5515 CHEROKEE AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-2309
Mailing Address - Country:US
Mailing Address - Phone:202-528-9802
Mailing Address - Fax:
Practice Address - Street 1:5515 CHEROKEE AVE STE 401
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-2309
Practice Address - Country:US
Practice Address - Phone:202-528-9802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care