# BROWNSTONE HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497367130
- **Authorized official:** MR. CHESTER LEE DAVIDSON JR. (OPERATING MANAGER)
- **Authorized official phone:** (314) 565-3750

## Contact information

- **Practice address:** 12755 ORLEY DR, BLACK JACK, MO 63033-4614
- **Practice address phone:** (314) 565-4708
- **Practice address fax:** (314) 741-1258
- **Mailing address:** 12755 ORLEY DR, BLACK JACK, MO 63033-4614
- **Mailing address phone:** (314) 565-4708
- **Mailing address fax:** (314) 741-1258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/22/2020
- **Last updated:** 08/22/2020
