Provider Demographics
NPI:1831865781
Name:FLOURISH FEEDING BABIES LLC
Entity type:Organization
Organization Name:FLOURISH FEEDING BABIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IBCLC/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICEA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SABELLA
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:732-338-9019
Mailing Address - Street 1:33 DORANNE LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-3177
Mailing Address - Country:US
Mailing Address - Phone:732-338-9019
Mailing Address - Fax:732-608-8442
Practice Address - Street 1:33 DORANNE LN
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-3177
Practice Address - Country:US
Practice Address - Phone:732-338-9019
Practice Address - Fax:732-608-8442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty