Organization
BRYANA PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE CHARLES (CEO)
(404) 454-7155
Entity
Organization
Contact information
Practice address
6276 FIELD GLEN RD, STONE MOUNTAIN, GA 30087-4911
(404) 454-7155
Mailing address
6276 FIELD GLEN RD, STONE MOUNTAIN, GA 30087-4911
(404) 454-7155
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
921820039A
MEDICAID PROVIDER NUMBER
GA
Enumeration date
01/12/2010
Last updated
01/12/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us