Provider Demographics
NPI:1114555117
Name:WARFIELD & BROWN HEALTH AND WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:WARFIELD & BROWN HEALTH AND WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHAMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:267-679-3579
Mailing Address - Street 1:2027 PULASKI HWY
Mailing Address - Street 2:STE 206
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-2147
Mailing Address - Country:US
Mailing Address - Phone:267-679-3579
Mailing Address - Fax:410-642-9001
Practice Address - Street 1:2027 PULASKI HWY STE 206
Practice Address - Street 2:
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078-2147
Practice Address - Country:US
Practice Address - Phone:410-642-9000
Practice Address - Fax:410-642-9100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-27
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty