Organization
BRANTA HOME & COMMUNITY SUPPORTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA LANG (OWNER)
(320) 380-4898
Entity
Organization
Contact information
Practice address
242 SPRUCE ST, PAYNESVILLE, MN 56362-2062
(320) 380-4898
Mailing address
242 SPRUCE ST, PAYNESVILLE, MN 56362-2062
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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