Provider Demographics
NPI:1730070095
Name:MADE WH-LE
Entity type:Organization
Organization Name:MADE WH-LE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FLOWER
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-774-9123
Mailing Address - Street 1:8668 N CEDAR AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-4809
Mailing Address - Country:US
Mailing Address - Phone:559-774-9123
Mailing Address - Fax:
Practice Address - Street 1:1690 W SHAW AVE STE 220
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3519
Practice Address - Country:US
Practice Address - Phone:559-774-9123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management