Organization · Type 2 NPI
The Mary Bryant Home Association
Assisted Living Facility · Springfield, IL
NPI number
1255530945
Active
Practice location
2960 Stanton St.
Springfield, IL 62703-4385
Fax (217) 529-6975
Mailing address
2960 Stanton St
Springfield, IL 62703-4315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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About NPI 1255530945
The Mary Bryant Home Association's National Provider Identifier is 1255530945, issued on Jul 13, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Springfield, IL. The record was last updated on Jul 13, 2007.