Organization

Brenda W Bryan

May also be knows as My Guardian Angel Group Home

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Rocky Mount, NC(View on Map)

Legal Business Name

Brenda W Bryan

Also Known As

My Guardian Angel Group Home

NPI Number

1376724039

NPI Type

Organization

Enumeration Date

11/21/2007

Licenses

State

North Carolina

License Number

MHL033046

Contact
Information

Purpose

Mailing
Location

Address

2001 VERNON RD
2001 VERNON RD

City

Rocky Mount
Rocky Mount

State

NC
NC

Postal Code

27801
27801

Country

US
US

Telephone Number

(252) 977-1956
(252) 977-1956

Authorized Official

Name

Brenda Bryant

Title or Position

OWNER

Telephone Number

(252) 977-1956

Identifiers

Identifier

7805933

Identifier State

NC

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/01/2008

Provider Address

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Organization

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Organization

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Organization

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Organization

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Organization

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