Davene D Brewton
Respite Care in Spartanburg, SC. Individual provider (NPI-1).
NPI number1144999533
StatusActive
Last updated in NPPESSep 9, 2021
Details
- NPI
- 1144999533
- Entity type
- Individual (NPI-1)
- Name
- Davene D Brewton
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 9, 2021
- Certification date
- Sep 9, 2021
- Last updated
- Sep 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 385H00000X | Respite Care | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – | |
| 372600000X | Adult Companion | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – | |
| 385HR2065X | Respite Care, Respite Care, Physical Disabilities, Child | – | – |
Practice location
224 Lightbourne Dr Apt 1eSpartanburg, SC 29301-5296
Phone 864-978-3736
Mailing address
224 Lightbourne Dr Apt 1eSpartanburg, SC 29301-5296
Phone 864-978-3736
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