Organization
BROADWAY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM J WHITE MBA (AR MANAGER)
(614) 416-2638
Entity
Organization
Contact information
Practice address
16231 BROADWAY AVE, MAPLE HEIGHTS, OH 44137-2526
(440) 239-4300
(440) 239-4301
Mailing address
16231 BROADWAY AVE, MAPLE HEIGHTS, OH 44137-2526
(440) 239-4300
(440) 239-4301
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1867
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2601812
—
OH
Enumeration date
12/13/2005
Last updated
08/22/2020
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