NPI 1104096130

Broador Horizon, INC

Organisation Intellectual Disabilities Intermediate Care Facility Glen Burnie, MD

Practice location

Address: 199 Plymouth Ln F, Glen Burnie, MD 21061-5652
Phone: (443) 413-0832

Authorised official

Name: Kevin E. Mattison
Title: Ceo
Phone: (443) 413-0832

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 0290 (MD)

Other Intermediate Care Facility, Intellectual Disabilities providers in Maryland →

Registry record

NPI: 1104096130
Entity type: Organization
NPI issued: 5 Mar 2008
Record last updated: 5 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.