Brown Sugar Health Llc | |
7500 Banner Way Ne Seattle WA 98115-4176 | |
(318) 642-4909 | |
Not Available |
Full Name | Brown Sugar Health Llc |
---|---|
Speciality | Clinic/center - Medical Specialty |
Location | 7500 Banner Way Ne, Seattle, Washington |
Authorized Official Name and Position | Derrick Wayne Smith (CEO) |
Authorized Official Contact | 8185157991 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brown Sugar Health Llc 507 Brompton Ln Bossier City LA 71111-8208 Ph: (818) 515-7991 | Brown Sugar Health Llc 7500 Banner Way Ne Seattle WA 98115-4176 Ph: (318) 642-4909 |
NPI Number | 1013732940 |
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Provider Enumeration Date | 11/15/2024 |
Last Update Date | 11/15/2024 |
Certification Date | 11/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013732940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
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