| NPI | 1528528841 |
|---|---|
| Doing Business As | BROAD CREEK CARE CENTER ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | TARA COPE SVP & General Counsel 312-803-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |