| NPI | 1013288810 |
|---|---|
| Other Name | BROADMORE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | RUSSELL E LEWIS Executive Director 423-433-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2019-02-15 |