Healthcare Provider Details

I. General information

NPI: 1598463200
Provider Name (Legal Business Name): FLS ENTERPRISES L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2023
Last Update Date: 02/27/2023
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 FRANKLIN ST APT C4
STONEHAM MA
02180-1529
US

IV. Provider business mailing address

159 FRANKLIN ST APT C4
STONEHAM MA
02180-1529
US

V. Phone/Fax

Practice location:
  • Phone: 857-247-6764
  • Fax:
Mailing address:
  • Phone: 857-247-6764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: FERNANDO L SOUSA
Title or Position: OWNER
Credential: R.N.
Phone: 857-247-6764