Provider Demographics
NPI:1932850781
Name:HERMEIONE L. FLOWERS, LLC
Entity Type:Organization
Organization Name:HERMEIONE L. FLOWERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER AND DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HERMEIONE
Authorized Official - Middle Name:LA'CHERYL
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-584-2209
Mailing Address - Street 1:210 DUNBAR ST
Mailing Address - Street 2:
Mailing Address - City:ALLENDALE
Mailing Address - State:SC
Mailing Address - Zip Code:29810-4106
Mailing Address - Country:US
Mailing Address - Phone:803-584-2209
Mailing Address - Fax:803-584-3490
Practice Address - Street 1:210 DUNBAR ST
Practice Address - Street 2:
Practice Address - City:ALLENDALE
Practice Address - State:SC
Practice Address - Zip Code:29810-4106
Practice Address - Country:US
Practice Address - Phone:803-584-2209
Practice Address - Fax:803-584-3490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management