Provider Demographics
NPI:1598463200
Name:FLS ENTERPRISES L.L.C.
Entity Type:Organization
Organization Name:FLS ENTERPRISES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:L
Authorized Official - Last Name:SOUSA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:857-247-6764
Mailing Address - Street 1:159 FRANKLIN ST APT C4
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-1529
Mailing Address - Country:US
Mailing Address - Phone:857-247-6764
Mailing Address - Fax:
Practice Address - Street 1:159 FRANKLIN ST APT C4
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-1529
Practice Address - Country:US
Practice Address - Phone:857-247-6764
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)Group - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No163WH1000XNursing Service ProvidersRegistered NurseHospiceGroup - Multi-Specialty