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Bryana Personal Care Home
Intellectual Disabilities Intermediate Care Facility in Stone Mountain, Georgia
NPI 1275863383

Bryana Personal Care Home is a Intellectual Disabilities Intermediate Care Facility based in Stone Mountain, GA. Bryana Personal Care Home practices in Stone Mountain, GA. The NPI Number for Bryana Personal Care Home is 1275863383 and holds a License No. (Georgia).

The current practice location address for Bryana Personal Care Home is 6276 Field Glen Rd, Stone Mountain, GA and can be reached out via phone at 404-454-7155.

Location: 6276 Field Glen Rd, Stone Mountain, GA, 30087-4911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275863383
Provider Name
Bryana Personal Care Home
Credential
Provider Entity Type
Organization
Address
6276 Field Glen Rd, Stone Mountain, GA, 30087-4911
Phone Number
404-454-7155
Fax Number
Provider Enumeration Date
01/12/2010
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
921820039A 01 GA MEDICAID PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
6276 Field Glen Rd
City
Stone Mountain
State
Georgia
Zip
30087-4911
Phone Number
404-454-7155
Fax Number
person
Provider Business Mailing Address Details
Address
6276 Field Glen Rd
City
Stone Mountain
State
Georgia
Zip
30087-4911
Phone Number
404-454-7155
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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