Provider Demographics
NPI:1215323167
Name:BRADBURY HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:BRADBURY HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-785-5532
Mailing Address - Street 1:5943 WESLEYAN DR N
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-6011
Mailing Address - Country:US
Mailing Address - Phone:888-210-2727
Mailing Address - Fax:214-988-0551
Practice Address - Street 1:5943 WESLEYAN DR N
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-6011
Practice Address - Country:US
Practice Address - Phone:888-210-2727
Practice Address - Fax:214-988-0551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN083928163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty