Individual
DAVENE D BREWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 LIGHTBOURNE DR APT 1E, SPARTANBURG, SC 29301-5296
(864) 978-3736
Mailing address
224 LIGHTBOURNE DR APT 1E, SPARTANBURG, SC 29301-5296
(864) 978-3736
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
385H00000X
Respite Care
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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