Broadwater Community Care Center, LLC
NPI #1639344898 in Duarte, California
Provider Information
- NPI Number
- 1639344898
- Entity Type
- Organization
- Organization Name
- Broadwater Community Care Center, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PARKSTONE HOLDINGS, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 28, 2008
- Last Updated
- Apr 28, 2008
Practice Location
- Address
- 2335 MOUNTAIN AVE
- City
- Duarte
- State
- California
- ZIP Code
- 91010-3559
- Phone
- (626) 357-3207
Authorized Official
- Name
- MR. DOUG EASTON
- Title
- MANAGING MEMBER
- Phone
- (702) 308-7191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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