Provider Demographics
NPI:1619587565
Name:CONFLUENT ENTERPRISES LLC
Entity Type:Organization
Organization Name:CONFLUENT ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURENCE
Authorized Official - Middle Name:N
Authorized Official - Last Name:BENZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-442-7697
Mailing Address - Street 1:175 S ENGLISH STATION RD STE 218
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-4199
Mailing Address - Country:US
Mailing Address - Phone:502-550-0401
Mailing Address - Fax:
Practice Address - Street 1:1025 HIGHWAY 34 E
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-6803
Practice Address - Country:US
Practice Address - Phone:770-290-8002
Practice Address - Fax:770-783-8026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy