Cassidie R Brown

Individual provider Active NPI Attendant Care Provider · Carmi, IL

NPI 1639983281 · NPPES record last updated Feb 4, 2025

Key facts

NPI
1639983281
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
1307 Gilpin St
Carmi, IL 62821-1362
Phone
(618) 384-1468
NPI assigned
Feb 4, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

1307 Gilpin St
Carmi, IL 62821-1362

Mailing address

1307 Gilpin St
Carmi, IL 62821-1362
Phone (618) 384-1468

Other providers in Carmi, IL

All providers in Carmi, IL · Attendant Care Provider in Illinois

Sources for this page

Verify at the official NPI Registry.