Individual
MR. WILLIE LEE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 CRAWFORD ST, SUITE P-D, PORTSMOUTH, VA 23704-3820
(757) 393-0660
(757) 393-0667
Mailing address
600 CRAWFORD ST, SUITE P-D, PORTSMOUTH, VA 23704-3820
(757) 393-0660
(757) 393-0667
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
35674
VA
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30-0260056
—
VA
Enumeration date
11/24/2008
Last updated
11/24/2008
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