MR. WILSON G BRYANT III NPI 1225718877

NPI Information

NPI: 1225718877
Provider Name: MR. WILSON G BRYANT III
Classification: Assisted Living Facility - 310400000X
Entity Type: Individual
Address:
19196 PINE WAY
APPLE VALLEY, CA
ZIP 92308
Phone: (760) 490-7367
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MR. Wilson G Bryant Iii is an assisted living facility in Apple Valley, CA. The provider is 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. MR. Wilson G Bryant Iii NPI is 1225718877. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

19196 PINE WAY
APPLE VALLEY, CA
ZIP 92308-914
Phone: (760) 490-7367

The enumeration date for this NPI number is 7/19/2023 and was last updated on 7/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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