Provider Demographics
NPI:1679179923
Name:DEBREW LLC
Entity Type:Organization
Organization Name:DEBREW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANELL
Authorized Official - Middle Name:ERSELL
Authorized Official - Last Name:DEBREW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-271-3186
Mailing Address - Street 1:16303 AYRWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1536
Mailing Address - Country:US
Mailing Address - Phone:202-271-3186
Mailing Address - Fax:301-390-3529
Practice Address - Street 1:16303 AYRWOOD LN # USA
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1536
Practice Address - Country:US
Practice Address - Phone:202-271-3186
Practice Address - Fax:301-390-3529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)