Provider Demographics
NPI:1407015019
Name:ELLA E M BROWN CHARITABLE CIRCLE
Entity Type:Organization
Organization Name:ELLA E M BROWN CHARITABLE CIRCLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLIS-SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN, CHPN
Authorized Official - Phone:269-789-3939
Mailing Address - Street 1:13444 PRESTON DR
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49068-8536
Mailing Address - Country:US
Mailing Address - Phone:269-789-3939
Mailing Address - Fax:269-781-1120
Practice Address - Street 1:13444 PRESTON DR
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MI
Practice Address - Zip Code:49068-8536
Practice Address - Country:US
Practice Address - Phone:269-789-3939
Practice Address - Fax:269-781-1120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based