Individual provider · NPI-1

Shawn Timothy Brown

Home Health Aide · Livonia, MI

NPI number1083129340
StatusActive
Last updated in NPPESDec 8, 2017

Details

NPI
1083129340
Entity type
Individual (NPI-1)
Name
Shawn Timothy Brown
Sex
Male
Sole proprietor
No
Enumeration date
Dec 8, 2017
Last updated
Dec 8, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

39293 Plymouth Rd Ste 112
Livonia, MI 48150-1060

Phone 734-632-0125 · Fax 734-632-0126

Mailing address

39293 Plymouth Rd Ste 112
Livonia, MI 48150-1060

Phone 734-632-0125 · Fax 734-632-0126

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