# BROADWAY NURSING SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831758408
- **Authorized official:** ANGELA MORRIS BROADWAY RN (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (336) 940-7664

## Contact information

- **Practice address:** 342 S SALISBURY ST, MOCKSVILLE, NC 27028-2526
- **Practice address phone:** (336) 940-7664
- **Practice address fax:** (336) 940-7664
- **Mailing address:** 342 S SALISBURY ST, MOCKSVILLE, NC 27028-2526
- **Mailing address phone:** (336) 940-7664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2019
- **Last updated:** 06/12/2019