Pauline Flournoy, CARE GIVER
Individual provider Active NPI Adult Care Home Facility · Roy, WA
NPI 1508030180 · NPPES record last updated Apr 15, 2008
Key facts
- NPI
- 1508030180
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- 138000 (WA)
- Practice address
- 28121 14TH Ave E
Roy, WA 98580 - Phone
- (253) 843-2989
- Fax
- (253) 843-3087
- NPI assigned
- Apr 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138000 | WA | MD | Adult Care Home Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 138000 | WA | Yes |
Addresses
Primary practice location
28121 14TH Ave E
Roy, WA 98580
Mailing address
28121 14TH Ave E
Roy, WA 98580
Phone (253) 843-2989
Other names
- Pauline Anderson
Other providers in Roy, WA
- Patricia Riley Dammier
- Evelyn C De Jesus
- Escape 2 Massage
- Jennifer Angellea Evans
- John Ferraro
- Sasha Vanessa Gagner
- Helaina Greb
- Kayla Marie Hay
- Dana Corinne Hill
- Jessica Hughes
All providers in Roy, WA · Adult Care Home Facility in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.