Organization
THE BROADHURST GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W RICHARD MARSHALL (VICE PRESIDENT CFO)
(502) 254-4200
Entity
Organization
Contact information
Practice address
12700 SHELBYVILLE RD, THE CUMBERLAND BUILDING, LOUISVILLE, KY 40243-1576
(502) 254-4200
Mailing address
12700 SHELBYVILLE RD, THE CUMBERLAND BUILDING, LOUISVILLE, KY 40243-1576
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90129560
—
KY
Enumeration date
03/22/2007
Last updated
10/15/2008
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