# BRADYVIEW MANOR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bradyview Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790740959
- **Authorized official:** MR. BRIAN P RENDOS (BILLING SUPERVISOR)
- **Authorized official phone:** (814) 265-1164

## Contact information

- **Practice address:** 405 ROBINSON STREET, EAST BRADY, PA 16028
- **Practice address phone:** (724) 526-3006
- **Practice address fax:** (724) 526-3775
- **Mailing address:** PO BOX 240, BROCKWAY, PA 15824
- **Mailing address phone:** (814) 265-1164
- **Mailing address fax:** (814) 265-1377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 409150 | PA | Yes |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 08/22/2020