Provider Demographics
NPI:1760254528
Name:BRIAN CENTER DRIVE OPERATING COMPANY, LLC
Entity Type:Organization
Organization Name:BRIAN CENTER DRIVE OPERATING COMPANY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:YOSEF
Authorized Official - Middle Name:
Authorized Official - Last Name:EMANUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-745-7945
Mailing Address - Street 1:279 BRIAN CENTER DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-6273
Mailing Address - Country:US
Mailing Address - Phone:336-249-7521
Mailing Address - Fax:
Practice Address - Street 1:279 BRIAN CENTER DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-6273
Practice Address - Country:US
Practice Address - Phone:336-249-7521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility