Provider Demographics
NPI:1871034421
Name:BROWN, CLAUDETTE CHRISTINE (HHA CAREGIVER)
Entity Type:Individual
Prefix:
First Name:CLAUDETTE
Middle Name:CHRISTINE
Last Name:BROWN
Suffix:
Gender:F
Credentials:HHA CAREGIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1223 HELLERMAN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-5528
Mailing Address - Country:US
Mailing Address - Phone:215-390-3349
Mailing Address - Fax:
Practice Address - Street 1:6176 NEWTOWN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-5928
Practice Address - Country:US
Practice Address - Phone:267-978-3040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health