Broadway Manor Management L.l.c

NPI #1700885787 in Muskogee, Oklahoma

Provider Information

NPI Number
1700885787
Entity Type
Organization
Organization Name
Broadway Manor Management L.l.c
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 20, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
1622 E BROADWAY ST
ZIP Code
74403-4601
Phone
(918) 683-2851

Authorized Official

Name
MR. MICHAEL THORNTON SCOTT
Title
MANAGING MEMBER
Phone
(918) 683-2851

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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