Broador Horizon, Inc in Glen Burnie - Intermediate Care Facility, Intellectual Disabilities
Broador Horizon, Inc - NPI 1104096130
Broador Horizon, Inc is a Intermediate Care Facility, Intellectual Disabilities in Glen Burnie, Maryland. Broador Horizon, Inc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Broador Horizon, Inc is 1104096130. The last update date is 2008-03-05.
Broador Horizon, Inc's current location address is 199 Plymouth Ln, Glen Burnie, Maryland. You can contact this provider via phone number 4434130832. The mailing address for Broador Horizon, Inc is 199 Plymouth Ln, Glen Burnie, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broador Horizon, Inc |
|---|---|
| Address | 199 Plymouth Ln, Glen Burnie, Maryland |
| Phone Number | 4434130832 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Mattison E. Kevin |
| Credentials | M.B.A. |
| Telephone Number | 4434130832 |
NPI Number Detail
| NPI Number | 1104096130 |
|---|---|
| Provider Enumeration Date | 2008-03-05 |
| Last Updated Date | 2008-03-05 |
Provider Mailing Address Detail
| Address | 199 Plymouth Ln |
|---|---|
| City | Glen Burnie |
| State | Maryland (MD) |
| Post Code | 210615652 |
| Phone Number | 4434130832 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 290 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the unique 10-digit identification code assigned to Broador Horizon, Inc by the Centers for Medicare & Medicaid Services?
The Broador Horizon, Inc has been issued the NPI (National Provider Identifier) 1104096130, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Broador Horizon, Inc?
The Broador Horizon, Inc is physically situated at 199 Plymouth Ln, in the city of Glen Burnie, state of MD, with the postal code 210615652.
What is Broador Horizon, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Broador Horizon, Inc's area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
When did the Broador Horizon, Inc receive its 1104096130?
The Broador Horizon, Inc was issued its 1104096130 on 2008-03-05, which is the date when the organization was assigned this unique identifier.
When was the information regarding Broador Horizon, Inc most recently updated?
The details pertaining to the Broador Horizon, Inc, including its address, specialty, and other relevant information, were last refreshed on 2008-03-05.