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Brenda W Bryan
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Rocky Mount, North Carolina
NPI 1376724039

Brenda W Bryan is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Rocky Mount, NC. Brenda W Bryan practices in Rocky Mount, NC. The NPI Number for Brenda W Bryan is 1376724039 and holds a License No. MHL033046 (North Carolina).

The current practice location address for Brenda W Bryan is 2001 Vernon Rd, Rocky Mount, NC and can be reached out via phone at 252-977-1956 and via fax at 252-977-1956.

Location: 2001 Vernon Rd, Rocky Mount, NC, 27801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376724039
Provider Name
Brenda W Bryan
Credential
Provider Entity Type
Organization
Address
2001 Vernon Rd, Rocky Mount, NC, 27801
Phone Number
252-977-1956
Fax Number
252-977-1956
Provider Enumeration Date
11/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805933 05 NC
institution
Provider Business Practice Location Address Details
Address
2001 Vernon Rd
City
Rocky Mount
State
North Carolina
Zip
27801
Phone Number
252-977-1956
Fax Number
252-977-1956
person
Provider Business Mailing Address Details
Address
2001 Vernon Rd
City
Rocky Mount
State
North Carolina
Zip
27801
Phone Number
252-977-1956
Fax Number
252-977-1956
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL033046 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
MHL033046 (North Carolina)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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