| NPI | 1700885787 |
|---|---|
| Doing Business As | BROADWAY MANOR NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | MICHAEL THORNTON SCOTT Managing Member 918-683-2851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK 314000000x) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-08-22 |