| NPI | 1669860433 |
|---|---|
| Doing Business As | THE BROADMOOR AT CREEKSIDE PARK |
| Entity Type | Organization |
| Authorized Contact | JASON ANGLIN CEO 361-552-6713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-08-26 |