Individual
GRACE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 UPLAND AVE, 205, UPLAND, PA 19015
(610) 844-9844
Mailing address
601 UPLAND AVE, 205, UPLAND, PA 19015
(610) 844-9844
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
31283601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24639741
DRIVER'S LICENSE
PA
Enumeration date
01/08/2019
Last updated
06/11/2019
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