Provider Demographics
NPI:1013068535
Name:STELLA FLOWERS
Entity Type:Organization
Organization Name:STELLA FLOWERS
Other - Org Name:COMFORT HOUSE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR / SOLE PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:E
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:414-344-1030
Mailing Address - Street 1:2100 N 29TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53208-1527
Mailing Address - Country:US
Mailing Address - Phone:414-344-1030
Mailing Address - Fax:414-342-7702
Practice Address - Street 1:2100 N 29TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53208-1527
Practice Address - Country:US
Practice Address - Phone:414-344-1030
Practice Address - Fax:414-342-7702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2008-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility