- Enrollment id
- O20090129000210
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1063677193
- Multiple npi flag
- N
- Ccn
- 747315
- Associate id
- 5799849147
- Organization name
- FLOURISH HOME HEALTH CARE INC
- Incorporation date
- 2008-02-25
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 10103 FONDREN RD
- Address line 2
- STE 464
- City
- HOUSTON
- State
- TX
- Zip code
- 770964677