Provider Demographics
NPI:1851574297
Name:BROWN & ASSOCIATES INDEPENDENT LIVING LLC
Entity Type:Organization
Organization Name:BROWN & ASSOCIATES INDEPENDENT LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-328-4922
Mailing Address - Street 1:6700 LAPALCO BLVD
Mailing Address - Street 2:SUITE G
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-6728
Mailing Address - Country:US
Mailing Address - Phone:504-328-4922
Mailing Address - Fax:504-328-4922
Practice Address - Street 1:6700 LAPALCO BLVD
Practice Address - Street 2:SUITE G
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-6728
Practice Address - Country:US
Practice Address - Phone:504-328-4922
Practice Address - Fax:504-328-4922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPCA 14047251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health