Broom Homestead INC
NPI #1134926769 in Los Angeles, California
Provider Information
- NPI Number
- 1134926769
- Entity Type
- Organization
- Organization Name
- Broom Homestead INC
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Mar 1, 2025
- Last Updated
- Apr 2, 2025
Practice Location
- Address
- 3616 10TH AVE
- City
- Los Angeles
- State
- California
- ZIP Code
- 90018-4113
- Phone
- (323) 643-4869
Authorized Official
- Name
- MR. WALTER E BROOM, CADC II
- Title
- CEO/EXECUTIVE DIRECTOR
- Phone
- (323) 643-4869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
| Case Manager/Care Coordinator |
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