Provider Demographics
NPI:1366032096
Name:FLOWER MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:FLOWER MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:NOOR
Authorized Official - Middle Name:M
Authorized Official - Last Name:FAQI
Authorized Official - Suffix:
Authorized Official - Credentials:HIGH SCHOOL DIPLOMA
Authorized Official - Phone:419-262-8146
Mailing Address - Street 1:5810 SOUTHWYCK BLVD # 203
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-1518
Mailing Address - Country:US
Mailing Address - Phone:419-262-8146
Mailing Address - Fax:419-932-4377
Practice Address - Street 1:5810 SOUTHWYCK BLVD # 203
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-1518
Practice Address - Country:US
Practice Address - Phone:419-262-8146
Practice Address - Fax:419-932-4377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)