Provider Demographics
NPI:1104713486
Name:BRUNCH N BIBLE STUDY, INC.
Entity type:Organization
Organization Name:BRUNCH N BIBLE STUDY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SKIPPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-607-2856
Mailing Address - Street 1:1119 N TOWNSEND ST APT 302
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13208-2655
Mailing Address - Country:US
Mailing Address - Phone:315-607-2856
Mailing Address - Fax:
Practice Address - Street 1:313 E WILLOW ST STE 204
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-1977
Practice Address - Country:US
Practice Address - Phone:315-607-2856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty