MEDICARE: FLOMICH HEALTHCARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1316200405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOMICH HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	2006 VALLEY CREEK DR
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75040-3955
Country	:	US
Telephone Number	:	214-281-6620
Fax Number	:

Provider Business Practice Location Address
First Line	:	2006 VALLEY CREEK DR
Second Line	:	N/A
City	:	GARLAND
State	:	TX
Zip	:	75040
Country	:	US
Telephone Number	:	214-281-6620
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	OBINNA OGBUEHI
Credential	:
Telephone Number	:	214-281-6620

Provider Enumeration Date	:	06/22/2012
Last Update Date	:	06/22/2012

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