Provider Demographics
NPI:1629131966
Name:FLEXIBLE FAMILY CARE, PC
Entity Type:Organization
Organization Name:FLEXIBLE FAMILY CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNETTE
Authorized Official - Middle Name:ILES
Authorized Official - Last Name:ILES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:319-653-9355
Mailing Address - Street 1:214 S IOWA AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WASHINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52353-1753
Mailing Address - Country:US
Mailing Address - Phone:319-653-9355
Mailing Address - Fax:319-653-2833
Practice Address - Street 1:214 S IOWA AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:WASHINGTON
Practice Address - State:IA
Practice Address - Zip Code:52353-1753
Practice Address - Country:US
Practice Address - Phone:319-653-9355
Practice Address - Fax:319-653-2833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA30923261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center