BROADMOOR ONE LLC

Custodial Care Facility - Adult Care Home

Active Organization
NPI: 1790040327

Practice Address

2119 N BROADMOOR ST
Wichita, KS 67206

Phone: (316) 260-3625

Specialties

Specialty Code Primary License
Custodial Care Facility - Adult Care Home 311ZA0620X Yes B087182 (KS)

Frequently Asked Questions

NPI 1790040327 is the National Provider Identifier for BROADMOOR ONE LLC, a Custodial Care Facility - Adult Care Home provider located in Wichita, KS. This NPI was enumerated on July 10, 2012.

Quick Facts

NPI
1790040327
Type
Organization
Enumerated
Jul 10, 2012
Last Updated
Jul 10, 2012

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