Healthcare Provider Details

I. General information

NPI: 1124295498
Provider Name (Legal Business Name): BROWN PRODUCTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 05/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

937 COOK RD
ORANGEBURG SC
29118-2123
US

IV. Provider business mailing address

937 COOK RD
ORANGEBURG SC
29118-2123
US

V. Phone/Fax

Practice location:
  • Phone: 803-536-5100
  • Fax: 803-536-5158
Mailing address:
  • Phone: 803-536-5100
  • Fax: 803-536-5158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. DIANA L. BROWN
Title or Position: VICE PRESIDENT
Credential:
Phone: 803-539-0608