# BREW HOME CARE AGENCY

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

## Provider details

- **NPI number:** 1770714933
- **Authorized official:** MRS. ELLEN D DAVIS RN,MSN (ADMINISTRATOR)
- **Authorized official phone:** (703) 763-0563

## Contact information

- **Practice address:** 4207 DALE BLVD, WOODBRIDGE, VA 22193-2243
- **Practice address phone:** (703) 763-0563
- **Practice address fax:** (703) 291-1754
- **Mailing address:** 4207 DALE BLVD, WOODBRIDGE, VA 22193-2243
- **Mailing address phone:** (703) 763-0563
- **Mailing address fax:** (703) 291-1754

## Taxonomy

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

## Other

- **Enumeration date:** 08/05/2009
- **Last updated:** 08/05/2009