Organization
BRAYNE CONCEPTS
Active
Other names
BAJAN PROFESSIONAL GROUP HOME
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MAUREEN HOLDER (ARNP)
(239) 368-8833
Entity
Organization
Contact information
Practice address
2360 E 5TH ST, LEHIGH ACRES, FL 33936-4332
(239) 368-8833
(239) 368-8833
Mailing address
2360 E 5TH ST, LEHIGH ACRES, FL 33936-4332
(239) 368-8833
(239) 368-8833
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
089333
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692003996
—
FL
Enumeration date
03/23/2008
Last updated
06/14/2008
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