Provider Demographics
NPI:1679311443
Name:BRITTANY THORNBURG
Entity type:Organization
Organization Name:BRITTANY THORNBURG
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION/ UNIVERSAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:THORNBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-508-2513
Mailing Address - Street 1:303 E EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:KAHOKA
Mailing Address - State:MO
Mailing Address - Zip Code:63445-1724
Mailing Address - Country:US
Mailing Address - Phone:319-508-2513
Mailing Address - Fax:
Practice Address - Street 1:303 E EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:KAHOKA
Practice Address - State:MO
Practice Address - Zip Code:63445-1724
Practice Address - Country:US
Practice Address - Phone:319-508-2513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care