Provider Demographics
NPI:1336250059
Name:FLEX CARE, INC.
Entity Type:Organization
Organization Name:FLEX CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLENNIS
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:HALTERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-273-2436
Mailing Address - Street 1:15 WILDWOOD ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-1418
Mailing Address - Country:US
Mailing Address - Phone:781-273-2436
Mailing Address - Fax:
Practice Address - Street 1:15 WILDWOOD ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-1418
Practice Address - Country:US
Practice Address - Phone:781-273-2436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
1055160001Medicare ID - Type Unspecified