Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Day Care |
261QA0600X | |||
Day Traning/Habilitation Specialist |
373H00000X |
| NPI # | 1215454517 |
| LBN Legal business name | BRAXTON SENIOR CARE |
| Authorized official | ANNYE BRAXTON - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/28/2017 |
| Last updated | 07/10/2023 - About 3 years ago |
| Identifiers | n/a |
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