Provider Demographics
NPI:1295370773
Name:HODGES-FLOWERS, LOUVINA
Entity Type:Individual
Prefix:MRS
First Name:LOUVINA
Middle Name:
Last Name:HODGES-FLOWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 FAIRMOUNT RD
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-1635
Mailing Address - Country:US
Mailing Address - Phone:386-566-5340
Mailing Address - Fax:
Practice Address - Street 1:744 FAIRMOUNT RD
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-1635
Practice Address - Country:US
Practice Address - Phone:386-566-5340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-08
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider