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Organization
BRIAN'S HOUSE, INC.
Active
Organization
BRIAN'S HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID FRANCIS MARSHALL (FISCAL MANAGER)
(610) 399-1175
Entity
Organization
Contact information
Practice address
1300 S CONCORD RD, WEST CHESTER, PA 19382-8531
(610) 399-1175
(610) 399-1828
Mailing address
1300 S CONCORD RD, WEST CHESTER, PA 19382-8531
(610) 399-1175
(610) 399-1828
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
133680
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000184
—
PA
Enumeration date
12/27/2012
Last updated
12/27/2012
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