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THE MARY BRYANT HOME ASSOCIATION NPI 1255530945


NPI Information

NPI: 1255530945
Provider Name: THE MARY BRYANT HOME ASSOCIATION

Doing Business As: MARY BRYANT HOME FOR THE BLIND

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2960 STANTON ST.
SPRINGFIELD, IL
ZIP 62703
Phone: (217) 529-1611
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THE MARY BRYANT HOME ASSOCIATION is an assisted living facility in Springfield, IL. 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. THE MARY BRYANT HOME ASSOCIATION NPI is 1255530945. The provider is registered as an organization entity type.
The provider Is Doing Business As Mary Bryant Home For The Blind.

The provider's business location address is:

2960 STANTON ST.
SPRINGFIELD, IL
ZIP 62703-385
Phone: (217) 529-1611
Fax: (217) 529-6975

The provider's authorized official is Jerome Patrick Curry .
The authorized official title is Executive Director and has the following contact phone number (217) 529-1611.

The enumeration date for this NPI number is 7/13/2007 and was last updated on 7/13/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityILLINOISYes

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: 11/14/2023

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