Organization · Type 2 NPI
Broador Horizon, Inc
Intellectual Disabilities Intermediate Care Facility · Glen Burnie, MD
NPI number
1104096130
Active
Practice location
199 Plymouth Ln, F
Glen Burnie, MD 21061-5652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0290 (MD) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1104096130
Broador Horizon, Inc's National Provider Identifier is 1104096130, issued on Mar 5, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Glen Burnie, MD. The record was last updated on Mar 5, 2008.