Provider Demographics
NPI:1962911222
Name:I FLORISH LLC
Entity type:Organization
Organization Name:I FLORISH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICE
Authorized Official - Prefix:MS
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SONGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-705-8911
Mailing Address - Street 1:14614 FALLING CREEK DR STE 208
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-2941
Mailing Address - Country:US
Mailing Address - Phone:832-705-8911
Mailing Address - Fax:832-705-8925
Practice Address - Street 1:14614 FALLING CREEK DR STE 208
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-2941
Practice Address - Country:US
Practice Address - Phone:832-705-8911
Practice Address - Fax:832-705-8925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX018077253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX018077OtherDADS