Individual
NENIA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2257 ROCKSRAM CT, BUFORD, GA 30519-6481
(678) 717-9468
Mailing address
2257 ROCKSRAM CT, BUFORD, GA 30519-6481
(678) 717-9468
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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