Healthcare Provider Details

I. General information

NPI: 1225640188
Provider Name (Legal Business Name): FLOVI OF NC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2020
Last Update Date: 10/25/2021
Certification Date: 10/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1916 SUNSET AVE
ROCKY MOUNT NC
27804-2520
US

IV. Provider business mailing address

1916 SUNSET AVE
ROCKY MOUNT NC
27804-2520
US

V. Phone/Fax

Practice location:
  • Phone: 252-452-8572
  • Fax:
Mailing address:
  • Phone: 252-452-8572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. KELVIN BARNHILL SR.
Title or Position: CEO
Credential:
Phone: 252-452-8572