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NPI Code Detail

MEDICARE: CASSANDRA BROWN

MEDICARE:   CASSANDRA  BROWN
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
1251E00000XHome Health Agency99058452MI

General Provider Information

NPI Number : 1326424516
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA BROWN
Provider Business Mailing Address
First Line : 1935 EDISON ST
Second Line :
City : DETROIT
State : MI
Zip : 48206-2040
Country : US
Telephone Number : 313-974-0077
Fax Number :
Provider Business Practice Location Address
First Line : 1935 EDISON ST
Second Line :
City : DETROIT
State : MI
Zip : 48206-2040
Country : US
Telephone Number : 313-974-0077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2015
Last Update Date : 08/11/2015

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Directions to “ CASSANDRA BROWN ” Practice Location

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