Provider Demographics
NPI:1821382680
Name:SONGA E. BROWN, INC.
Entity Type:Organization
Organization Name:SONGA E. BROWN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SONGA
Authorized Official - Middle Name:EUGENIA
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-479-9080
Mailing Address - Street 1:2145 DAVIE BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-3161
Mailing Address - Country:US
Mailing Address - Phone:954-533-7120
Mailing Address - Fax:954-533-7120
Practice Address - Street 1:2145 DAVIE BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-3161
Practice Address - Country:US
Practice Address - Phone:954-533-7120
Practice Address - Fax:954-533-7120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003507300Medicaid