Individual
EBONY S BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 MAIN ST, PURVIS, MS 39475-5421
(769) 456-4083
Mailing address
1508 MARTIN LUTHER KING JR DR, TYLERTOWN, MS 39667-2636
(769) 456-4083
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
MS
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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