Organization Name: | BROADWAY INVESTMENTS LLC |
NPI Number: | 1407082787 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM MICHAEL ARCHER (OWNER/MEMBER) |
Mailing Address: | 503 W 2600 S Ste 200 Bountiful |
State: | UT US |
Postal Code: | 840107717 |
Phone Number: | 8012940560 |
Fax Number: | 8019926590 |
NPI Enumeration Date: | 06/01/2009 |
NPI Last Update Date: | 06/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 2009-HOSPICE-89770 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |