Organization
FAB ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BROWN LMSW (MANAGER)
(901) 596-1255
Entity
Organization
Contact information
Practice address
9356 GOODMAN RD, OLIVE BRANCH, MS 38654-1700
(901) 596-1255
Mailing address
8995 BROOKHOLLOW DR, OLIVE BRANCH, MS 38654-8362
(901) 596-1255
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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