NPI | 1578553871 |
---|---|
Doing Business As | BROAD CREEK CARE CENTER |
Entity Type | Organization |
Authorized Contact | TARA COPE SVP & General Counsel 312-803-8555 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC NCF-753) |
Enumeration Date | 2005-10-27 |
Last Update Date | 2024-08-12 |