| NPI | 1588483549 |
|---|---|
| Doing Business As | THE BROADMOOR AT CREEKSIDE PARK |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA BURGE CEO Administration Assistant/Physic 979-548-1598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |