| NPI | 1821416256 |
|---|---|
| Other Name | SUPEERIOR BROCAGE HOME CONTRACTOR |
| Entity Type | Organization |
| Authorized Contact | JERQUAN BROWN Owner 225-328-9051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XE0001X Occupational Therapist Environmental Modification |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |