Provider Demographics
NPI:1073394664
Name:BRYSON HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:BRYSON HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BELLA
Authorized Official - Middle Name:NGOASONG
Authorized Official - Last Name:FONTEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-284-2688
Mailing Address - Street 1:40 S JAMES RD STE E
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1696
Mailing Address - Country:US
Mailing Address - Phone:614-284-2688
Mailing Address - Fax:
Practice Address - Street 1:40 S JAMES RD STE E
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1696
Practice Address - Country:US
Practice Address - Phone:614-284-2688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health