Provider Demographics
NPI:1215573217
Name:BYERLY ENTERPRISES, LLC
Entity Type:Organization
Organization Name:BYERLY ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:W
Authorized Official - Last Name:BYERLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-691-6400
Mailing Address - Street 1:8616 HIDDEN ACRE CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48348-2895
Mailing Address - Country:US
Mailing Address - Phone:248-241-6507
Mailing Address - Fax:248-686-3415
Practice Address - Street 1:8616 HIDDEN ACRE CT
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-2895
Practice Address - Country:US
Practice Address - Phone:248-241-6507
Practice Address - Fax:248-686-3415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency