NPI 1326708439

Pmg Opco-Broussard LLC

Organisation Skilled Nursing Facility Broussard, LA

Practice location

Address: 418 Albertson Pkwy, Broussard, LA 70518-4971
Phone: (337) 839-9005

Authorised official

Name: Steven Boulware
Title: Managing Member
Phone: (972) 428-0900

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Louisiana →

Registry record

NPI: 1326708439
Entity type: Organization
NPI issued: 30 Dec 2021
Record last updated: 30 Dec 2021

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.