Individual
JOHN K BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18885 HELEN ST, DETROIT, MI 48234-3014
(248) 416-3176
Mailing address
PO BOX 361272, GROSSE POINTE FARMS, MI 48236-5272
(248) 416-3176
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
MI
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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