Provider Demographics
NPI:1356150098
Name:FLOURISHING MAMA COMPANY, LLC
Entity type:Organization
Organization Name:FLOURISHING MAMA COMPANY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-695-7041
Mailing Address - Street 1:2610 SMOOTH ALDER ST N APT 104
Mailing Address - Street 2:
Mailing Address - City:GAMBRILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21054-1365
Mailing Address - Country:US
Mailing Address - Phone:240-595-4810
Mailing Address - Fax:
Practice Address - Street 1:2610 SMOOTH ALDER ST N
Practice Address - Street 2:
Practice Address - City:GAMBRILLS
Practice Address - State:MD
Practice Address - Zip Code:21054-1365
Practice Address - Country:US
Practice Address - Phone:202-695-7041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty