# BROADMOOR ADULT ENRICHMENT DAYCARE, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Noah's Ark Daycare Center, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609131804
- **Authorized official:** MS. JENNIE HAYNES STURGIS (ADMINISTRATOR)
- **Authorized official phone:** (601) 982-8156

## Contact information

- **Practice address:** 5176 KEELE ST, JACKSON, MS 39206-4313
- **Practice address phone:** (601) 982-8156
- **Practice address fax:** (601) 982-8956
- **Mailing address:** 5176 KEELE ST, JACKSON, MS 39206-4313
- **Mailing address phone:** (601) 982-8156
- **Mailing address fax:** (601) 982-8956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2012
- **Last updated:** 07/12/2012