Provider Demographics
NPI:1992495881
Name:FLOURISH HEALTH
Entity type:Organization
Organization Name:FLOURISH HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MEAGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LUTHER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:617-605-6755
Mailing Address - Street 1:3 BLUEBERRY HL
Mailing Address - Street 2:
Mailing Address - City:PEPPERELL
Mailing Address - State:MA
Mailing Address - Zip Code:01463-4200
Mailing Address - Country:US
Mailing Address - Phone:617-605-6755
Mailing Address - Fax:
Practice Address - Street 1:59 STILES RD STE 104
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-5816
Practice Address - Country:US
Practice Address - Phone:617-605-6755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center