Provider Demographics
NPI:1609089986
Name:B.R.A.D.D.Y. SERVICES, INC.
Entity Type:Organization
Organization Name:B.R.A.D.D.Y. SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AREAOFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:'NITA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-237-5394
Mailing Address - Street 1:4117 COX DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-3929
Mailing Address - Country:US
Mailing Address - Phone:813-363-3964
Mailing Address - Fax:813-996-1209
Practice Address - Street 1:4117 COX DR
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-3929
Practice Address - Country:US
Practice Address - Phone:813-363-3964
Practice Address - Fax:813-996-1209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2007-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services