Provider Demographics
NPI:1215311006
Name:CARMENS FLENORY
Entity type:Organization
Organization Name:CARMENS FLENORY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED PRACTICAL NURSE
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:FLENORY
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:404-924-0160
Mailing Address - Street 1:1206 LOOKOUT LN
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-9839
Mailing Address - Country:US
Mailing Address - Phone:404-924-0160
Mailing Address - Fax:
Practice Address - Street 1:1206 LOOKOUT LN
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-9839
Practice Address - Country:US
Practice Address - Phone:404-924-0160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home