# BRIAN'S HOUSE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780920488
- **Authorized official:** MR. DAVID FRANCIS MARSHALL (FISCAL MANAGER)
- **Authorized official phone:** (610) 399-1175

## Contact information

- **Practice address:** 1300 S CONCORD RD, WEST CHESTER, PA 19382-8531
- **Practice address phone:** (610) 399-1175
- **Practice address fax:** (610) 399-1828
- **Mailing address:** 1300 S CONCORD RD, WEST CHESTER, PA 19382-8531
- **Mailing address phone:** (610) 399-1175
- **Mailing address fax:** (610) 399-1828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 133680 | PA | Yes |

## Other

- **Enumeration date:** 12/27/2012
- **Last updated:** 12/27/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100000184 | — | PA |