Provider Demographics
NPI:1629821566
Name:BREWER HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:BREWER HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:SHARMAINE
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:689-278-5758
Mailing Address - Street 1:711 W MAIN ST # 1011
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-5128
Mailing Address - Country:US
Mailing Address - Phone:689-278-5758
Mailing Address - Fax:
Practice Address - Street 1:711 W MAIN ST # 1011
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-5128
Practice Address - Country:US
Practice Address - Phone:689-278-5758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care