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Contact Information

BROADMOOR ADULT ENRICHMENT DAYCARE, INC.
5176 KEELE ST
JACKSON, MS39206-4313
 Phone: 601-982-8156
 Fax: 601-982-8956
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for BROADMOOR ADULT ENRICHMENT DAYCARE, INC.

NPI # 1609131804
LBN Legal business name BROADMOOR ADULT ENRICHMENT DAYCARE, INC.
Authorized official JENNIE STURGIS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/12/2012
Last updated 07/12/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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