1530 BROAD AVENUE OPERATIONS, LLC

Skilled Nursing Facility

Active Organization
NPI: 1306593900

Practice Address

1530 BROAD AVE
Gulfport, MS 39501

Phone: (253) 278-2258

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes -

Frequently Asked Questions

NPI 1306593900 is the National Provider Identifier for 1530 BROAD AVENUE OPERATIONS, LLC, a Skilled Nursing Facility provider located in Gulfport, MS. This NPI was enumerated on March 4, 2022.

Quick Facts

NPI
1306593900
Type
Organization
Enumerated
Mar 4, 2022
Last Updated
Sep 13, 2024

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