Provider Demographics
NPI:1598515579
Name:LYORFLASH HOME CARE
Entity Type:Organization
Organization Name:LYORFLASH HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JASLYN
Authorized Official - Middle Name:DOREE
Authorized Official - Last Name:GOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-610-7790
Mailing Address - Street 1:2503 S LINDEN RD STE 150
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-5449
Mailing Address - Country:US
Mailing Address - Phone:810-919-8713
Mailing Address - Fax:
Practice Address - Street 1:2503 S LINDEN RD STE 150
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-5449
Practice Address - Country:US
Practice Address - Phone:810-919-8713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care