Provider Demographics
NPI:1194710590
Name:BROWN DEVELOPMENT, LLC
Entity type:Organization
Organization Name:BROWN DEVELOPMENT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:EILAND
Authorized Official - Suffix:
Authorized Official - Credentials:NFA
Authorized Official - Phone:318-574-8111
Mailing Address - Street 1:32 CROTHERS DR
Mailing Address - Street 2:
Mailing Address - City:TALLULAH
Mailing Address - State:LA
Mailing Address - Zip Code:71282-5510
Mailing Address - Country:US
Mailing Address - Phone:318-574-8111
Mailing Address - Fax:318-574-4691
Practice Address - Street 1:32 CROTHERS DR
Practice Address - Street 2:
Practice Address - City:TALLULAH
Practice Address - State:LA
Practice Address - Zip Code:71282-5510
Practice Address - Country:US
Practice Address - Phone:318-574-8111
Practice Address - Fax:318-574-4691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-13
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA234314000000X, 332BN1400X, 332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA31282OtherBLUE CROSS BLUE SHIELD
LA1512346Medicaid
LA195443Medicare ID - Type Unspecified
LA31282OtherBLUE CROSS BLUE SHIELD