Healthcare Provider Details

I. General information

NPI: 1114247335
Provider Name (Legal Business Name): BRYANT OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2010
Last Update Date: 02/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22515 INTERSTATE 30 S
BRYANT AR
72022-2564
US

IV. Provider business mailing address

PO BOX 12187
ALEXANDRIA LA
71315-2187
US

V. Phone/Fax

Practice location:
  • Phone: 501-847-0777
  • Fax: 501-847-5276
Mailing address:
  • Phone: 501-847-0777
  • Fax: 501-847-5276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. NANCY BROWN
Title or Position: ADMINISTRATOR
Credential:
Phone: 501-847-0777