Organization
BROADMEAD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY A HUBBERT CPC (MEDICAL BILLING)
(443) 578-8073
Entity
Organization
Contact information
Practice address
13801 YORK RD, COCKEYSVILLE, MD 21030-1825
(443) 578-8000
(443) 578-8194
Mailing address
13801 YORK RD, COCKEYSVILLE, MD 21030-1825
(443) 578-8000
(443) 578-8194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
—
—
314000000X
Skilled Nursing Facility
Primary
03-030
MD
Other
Enumeration date
11/29/2005
Last updated
12/17/2009
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