Organization
BREW HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN D DAVIS RN,MSN (ADMINISTRATOR)
(703) 763-0563
Entity
Organization
Contact information
Practice address
4207 DALE BLVD, WOODBRIDGE, VA 22193-2243
(703) 763-0563
(703) 291-1754
Mailing address
4207 DALE BLVD, WOODBRIDGE, VA 22193-2243
(703) 763-0563
(703) 291-1754
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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