Broadway Manor Residential Carehome

LBN: Broadway Manor Limited Liability
Broadway Manor Residential Carehome is an health care organization with primary practice located at 446 N Broadway Street , Greenville MS 38701-2552. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Broadway Manor Limited Liability can be contacted via phone (662) 702-5007, or through Thompson, Jmelba H via phone (662) 702-5007.

Contact Information

Primary practice address
446 N Broadway Street Greenville MS 38701-2552
Phone: (662) 702-5007
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Jmelba H
Phone: (662) 702-5007

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 1096 Mississippi

Profile Details

NPI number 1740668755
LBN Legal business name Broadway Manor Limited Liability
DBA Doing business as Broadway Manor Residential Carehome
Authorized official Thompson, Jmelba H
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2015
Last updated Jul 24th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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