Healthcare Provider Details

I. General information

NPI: 1871408682
Provider Name (Legal Business Name): FAITH FLOWERS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4023 MAIN ST
BELLE CHASSE LA
70037-2741
US

IV. Provider business mailing address

4023 MAIN ST
BELLE CHASSE LA
70037-2741
US

V. Phone/Fax

Practice location:
  • Phone: 443-554-9618
  • Fax:
Mailing address:
  • Phone: 443-554-9618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1710I1002X
TaxonomyIndependent Duty Corpsman
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: