Brenda W Bryan
Brenda W Bryan is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Rocky Mount, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
2001 Vernon RdRocky Mount, NC 27801
Phone: (252) 977-1956
Fax: (252) 977-1956
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence MHL033046 (NC) |
|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | Taxonomy 320600000X · Licence MHL033046 (NC) |
Record details
| NPI number | 1376724039 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brenda Bryant — Owner · (252) 977-1956 |
| Other names | My Guardian Angel Group Home |
| NPI enumerated | November 21, 2007 |
| Last updated in NPPES | August 1, 2008 |
| Mailing address | 2001 Vernon Rd, Rocky Mount, NC 27801 |
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-
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-
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