MEDICARE: BREWERS CREATIVE SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1073905022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREWERS CREATIVE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	3127 BECKET RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-2820
Country	:	US
Telephone Number	:	216-324-2443
Fax Number	:

Provider Business Practice Location Address
First Line	:	3127 BECKET RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-2820
Country	:	US
Telephone Number	:	216-324-2443
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE
Name	:	MR. D.T. BREWER
Credential	:
Telephone Number	:	216-324-2443

Provider Enumeration Date	:	02/27/2015
Last Update Date	:	02/27/2015

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