Organization
BROWNSTONE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHESTER LEE DAVIDSON JR. (OPERATING MANAGER)
(314) 565-3750
Entity
Organization
Contact information
Practice address
12755 ORLEY DR, BLACK JACK, MO 63033-4614
(314) 565-4708
(314) 741-1258
Mailing address
12755 ORLEY DR, BLACK JACK, MO 63033-4614
(314) 565-4708
(314) 741-1258
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/22/2020
Last updated
08/22/2020
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