Individual
OLIVIA JEAN FLOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 PINGREE ST, DETROIT, MI 48202-2021
(313) 656-4077
Mailing address
PO BOX 2922, DETROIT, MI 48202-0952
(313) 656-4077
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
1742000000X
MI
177F00000X
Lodging Provider
177F000000X
MI
251J00000X
Nursing Care Agency
251J0000X
MI
251S00000X
Community/Behavioral Health Agency
251S0000000X
MI
253J00000X
Foster Care Agency
Primary
AM820079488
MI
310500000X
Mental Illness Intermediate Care Facility
3105000000X
MI
315P00000X
Intellectual Disabilities Intermediate Care Facility
315P000000X
MI
343900000X
Non-emergency Medical Transport (VAN)
3439000000X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6306779
—
MI
Enumeration date
02/24/2019
Last updated
02/24/2019
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