| NPI | 1609206077 |
|---|---|
| Doing Business As | THE BROADMOOR AT CREEKSIDE PARK |
| Entity Type | Organization |
| Authorized Contact | LISA M SMITH Legal Assistant/Claims Manager 214-954-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2015-04-30 |