Provider Demographics
NPI:1457031635
Name:FLEHARTY, CHERYL W (CAREGIVE)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:W
Last Name:FLEHARTY
Suffix:
Gender:F
Credentials:CAREGIVE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3180 AN COUNTY ROAD 359
Mailing Address - Street 2:
Mailing Address - City:PALESTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75803-2190
Mailing Address - Country:US
Mailing Address - Phone:903-373-2842
Mailing Address - Fax:
Practice Address - Street 1:2932 AN COUNTY ROAD 359
Practice Address - Street 2:
Practice Address - City:PALESTINE
Practice Address - State:TX
Practice Address - Zip Code:75803-2170
Practice Address - Country:US
Practice Address - Phone:214-843-3872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care