Organization
BROADMOOR OPERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONI ZALETEL (CEO)
(772) 468-7235
Entity
Organization
Contact information
Practice address
200 DIXIELAND DR, FORT PIERCE, FL 34982-6706
(772) 468-7235
Mailing address
200 DIXIELAND DR, FORT PIERCE, FL 34982-6706
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9190
FL
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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