Organization Name: | BRYANT HOMES, LLC. |
NPI Number: | 1356618672 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CANDACE DAHLKE (OWNER) |
Mailing Address: | 12501 W Needham Dr New Berlin |
State: | WI US |
Postal Code: | 531511847 |
Phone Number: | 4142417067 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2011 |
NPI Last Update Date: | 12/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Physical Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |