Healthcare Provider Details

I. General information

NPI: 1194657007
Provider Name (Legal Business Name): FLUX RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 CUSTER AVE LOT 35
EATONTON GA
31024-2402
US

IV. Provider business mailing address

888 JUNIPER ST NE APT 3003
ATLANTA GA
30309-4850
US

V. Phone/Fax

Practice location:
  • Phone: 856-347-7881
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: WILLIE LITTLE
Title or Position: OWNER
Credential:
Phone: 856-347-7881