Provider Demographics
NPI:1497312052
Name:LOWE, RAYMOND BROOKS (HOME CARE ORGINIZATI)
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:BROOKS
Last Name:LOWE
Suffix:
Gender:M
Credentials:HOME CARE ORGINIZATI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:VA
Mailing Address - Zip Code:23851-1758
Mailing Address - Country:US
Mailing Address - Phone:757-569-7777
Mailing Address - Fax:757-569-1297
Practice Address - Street 1:220 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851-1758
Practice Address - Country:US
Practice Address - Phone:757-569-7777
Practice Address - Fax:757-569-1297
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1901002374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide