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Organization

BROW, LLC

Active
Other names
ADVANCED HOME HEALTH
Organization subpart
No

Provider details

NPI number
Authorized official
TY S WAKEFIELD (CEO)
(702) 735-6209
Entity
Organization

Contact information

Practice address
3750 S JONES BLVD, SUITE 100, LAS VEGAS, NV 89103-2208
(702) 735-6209
(702) 735-6210
Mailing address
PO BOX 561, MESQUITE, NV 89024-0561
(702) 735-6209
(702) 735-6210

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20121682715
NV

Other

Enumeration date
11/16/2012
Last updated
11/20/2012
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