Provider Demographics
NPI:1710327572
Name:THE DAVIS & BROOKS FAMILY AGENCY
Entity Type:Organization
Organization Name:THE DAVIS & BROOKS FAMILY AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:G
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-545-0409
Mailing Address - Street 1:267 ELLSWORTH ST
Mailing Address - Street 2:UNIT 9C
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06605-3165
Mailing Address - Country:US
Mailing Address - Phone:203-545-0409
Mailing Address - Fax:203-549-0936
Practice Address - Street 1:267 ELLSWORTH ST
Practice Address - Street 2:UNIT 9C
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06605-3165
Practice Address - Country:US
Practice Address - Phone:203-545-0409
Practice Address - Fax:203-549-0936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health