Healthcare Provider Details

I. General information

NPI: 1558225201
Provider Name (Legal Business Name): FLK RESIDENTIAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 CREEKWAY DR
MOBILE AL
36605-3748
US

IV. Provider business mailing address

8970 DAWES OAK DR
THEODORE AL
36582-9722
US

V. Phone/Fax

Practice location:
  • Phone: 251-392-5378
  • Fax:
Mailing address:
  • Phone: 251-392-5378
  • Fax: 251-392-5378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: SABRINA AGEE
Title or Position: OWNER/ED
Credential:
Phone: 251-392-5378