Provider Demographics
NPI:1427769199
Name:BROWN GIRL ENTERPRISES LLC
Entity type:Organization
Organization Name:BROWN GIRL ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:INDIA
Authorized Official - Middle Name:DENESE
Authorized Official - Last Name:QUIETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-202-7622
Mailing Address - Street 1:6969 TITIAN AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-2767
Mailing Address - Country:US
Mailing Address - Phone:225-202-7622
Mailing Address - Fax:
Practice Address - Street 1:6969 TITIAN AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-2767
Practice Address - Country:US
Practice Address - Phone:225-202-7622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)