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NPI Code Detail

MEDICARE: BYERLY ENTERPRISES, LLC

MEDICARE: BYERLY ENTERPRISES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253J00000XFoster Care Agency

General Provider Information

NPI Number : 1215573217
Entity Type Code : Organization
Provider Name (Legal Business Name) : BYERLY ENTERPRISES, LLC
Provider Business Mailing Address
First Line : 8616 HIDDEN ACRE CT
Second Line :
City : CLARKSTON
State : MI
Zip : 48348-2895
Country : US
Telephone Number : 248-241-6507
Fax Number : 248-686-3415
Provider Business Practice Location Address
First Line : 8616 HIDDEN ACRE CT
Second Line :
City : CLARKSTON
State : MI
Zip : 48348-2895
Country : US
Telephone Number : 248-241-6507
Fax Number : 248-686-3415
Authorized Official
Title or Position : CFO
Name : DR. CARL W BYERLY
Credential :
Telephone Number : 810-691-6400
Provider Enumeration Date : 11/25/2019
Last Update Date : 11/25/2019

Similar Medicare Providers

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Practice Location Address:
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Directions to “BYERLY ENTERPRISES, LLC ” Practice Location

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