Lisa Bryan is an Assisted Living Facility based in Bradenton, FL. Lisa Bryan practices in Bradenton, FL. The NPI Number for Lisa Bryan is 1447650528 and holds a License No. AL10127 (Florida).
The current practice location address for Lisa Bryan is 5015 29Th Ave W, Bradenton, FL and can be reached out via phone at 941-795-4025.
Location: 5015 29Th Ave W, Bradenton, FL, 34209-5031
Provider Profile Details
NPI Number
1447650528
Provider Name
Lisa Bryan
Credential
Provider Entity Type
Individual
Gender
Female
Address
5015 29Th Ave W, Bradenton, FL, 34209-5031
Phone Number
941-795-4025
Fax Number
Provider Enumeration Date
08/26/2014
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140259500 | 05 | FL |
Provider Business Practice Location Address Details
Address
5015 29Th Ave W
City
State
Zip
34209-6119
Phone Number
941-795-4025
Fax Number
Provider Business Mailing Address Details
Address
5015 29Th Ave W
City
State
Zip
34209-6119
Phone Number
941-795-4025
Fax Number
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
AL10127 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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