Provider Demographics
NPI:1508692708
Name:SUNFLOWERS PERSONALCARE AND NON MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:SUNFLOWERS PERSONALCARE AND NON MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:LORETTA
Authorized Official - Last Name:FLETCHER-ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-639-2184
Mailing Address - Street 1:110 MAYCOX AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-3433
Mailing Address - Country:US
Mailing Address - Phone:757-462-9967
Mailing Address - Fax:757-980-0810
Practice Address - Street 1:110 MAYCOX AVE STE 1
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-3433
Practice Address - Country:US
Practice Address - Phone:757-462-9967
Practice Address - Fax:757-980-0810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care