Brianna's Home

NPI #1922442607 in Detroit, Michigan

Provider Information

NPI Number: 1922442607
Entity Type: Organization
Organization Name: Brianna's Home
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Apr 24, 2013
Last Updated: Apr 24, 2013

Practice Location

Address: 16131 LINWOOD ST
City: Detroit
State: Michigan
ZIP Code: 48221-3122
Phone: (313) 345-3199

Authorized Official

Name: MR. ANTONIO LAFEVE BALL
Title: PROVIDER
Phone: (313) 657-4282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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