Provider Demographics
NPI:1639055486
Name:SHILOH FLOWER FARM
Entity type:Organization
Organization Name:SHILOH FLOWER FARM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAYLEEN
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:WALDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-774-4046
Mailing Address - Street 1:19586 CLOVER RD
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-4659
Mailing Address - Country:US
Mailing Address - Phone:530-744-4046
Mailing Address - Fax:
Practice Address - Street 1:19586 CLOVER RD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-4659
Practice Address - Country:US
Practice Address - Phone:530-744-4046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management