Organization · Type 2 NPI
Broadway Manor Limited Liability
Assisted Living Facility · Greenville, MS
NPI number
1740668755
Active
Practice location
446 N Broadway Street
Greenville, MS 38701-2552
Mailing address
515 N Broadway St
Greenville, MS 38701-2552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 1096 (MS) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1740668755
Broadway Manor Limited Liability's National Provider Identifier is 1740668755, issued on May 11, 2015. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Greenville, MS. The record was last updated on Jul 24, 2015.