Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Flourish Foundation

Organization Case Management Agency · NPI 1740042605

Flourish Foundation is a Case Management Agency in Dallas, Georgia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

172 Water Oak Way
Dallas, GA 30157-8562
Phone: (480) 286-8603
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X
Home Health Agency Taxonomy 251E00000X

Record details

NPI number1740042605
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonta Tidwell — Founder · (480) 286-8603
Other names Flourish; The Flourish Foundation
NPI enumeratedJanuary 26, 2024
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024
Mailing address172 Water Oak Way, Dallas, GA 30157-8562

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