Provider Demographics
NPI:1255709929
Name:INTERNATIONAL FLAIR, LLC
Entity type:Organization
Organization Name:INTERNATIONAL FLAIR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEKEI
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:B A, QMHP, QMRP
Authorized Official - Phone:540-204-6781
Mailing Address - Street 1:PO BOX 21174
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0119
Mailing Address - Country:US
Mailing Address - Phone:540-339-7541
Mailing Address - Fax:
Practice Address - Street 1:1327 GRANDIN RD SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24015-2349
Practice Address - Country:US
Practice Address - Phone:540-339-7541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-10
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251300000XAgenciesLocal Education Agency (LEA)
No251F00000XAgenciesHome Infusion
No253Z00000XAgenciesIn Home Supportive Care