Organization
BRYANT'S FAMILY HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN CARNELL BRYANT (OWNER)
(910) 844-2500
Entity
Organization
Contact information
Practice address
110 N PATTERSON ST, MAXTON, NC 28364-1735
(910) 844-2500
(910) 844-2500
Mailing address
110 N PATTERSON ST, MAXTON, NC 28364-1735
(910) 844-2500
(910) 844-2504
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
HC3907
NC
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
HC3907
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418735
—
NC
05
—
6601886
—
NC
Enumeration date
08/27/2009
Last updated
01/29/2015
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