Provider Demographics
NPI:1396046678
Name:BROWN, RONA ROCHELLE
Entity type:Individual
Prefix:
First Name:RONA
Middle Name:ROCHELLE
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20108 BLACKSTONE ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48219-1382
Mailing Address - Country:US
Mailing Address - Phone:586-439-8031
Mailing Address - Fax:
Practice Address - Street 1:20108 BLACKSTONE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-1382
Practice Address - Country:US
Practice Address - Phone:586-439-8031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care