NPI 1275863383

Bryana Personal Care Home

Organisation Intellectual Disabilities Intermediate Care Facility Stone Mountain, GA

Practice location

Address: 6276 Field Glen Rd, Stone Mountain, GA 30087-4911
Phone: (404) 454-7155

Authorised official

Name: Diane Charles
Title: Ceo
Phone: (404) 454-7155

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Georgia →

Registry record

NPI: 1275863383
Entity type: Organization
NPI issued: 12 Jan 2010
Record last updated: 12 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.