Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI # | 1407082787 |
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| LBN Legal business name | BROADWAY INVESTMENTS LLC | ||||
| Authorized official | WILLIAM ARCHER - (OWNER/MEMBER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/01/2009 | ||||
| Last updated | 06/01/2009 - About 17 years ago | ||||
| Identifiers |
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