Brannon's Friends LLC

NPI #1669675278 in Longview, Texas

Provider Information

NPI Number: 1669675278
Entity Type: Organization
Organization Name: Brannon's Friends LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 10, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 407 E PIRATE ST
City: Longview
State: Texas
ZIP Code: 75604-2427
Phone: (903) 297-6684

Authorized Official

Name: MR. STEVIE VINCENT BRANNON
Title: FOUNDER
Phone: (903) 297-6684

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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