| Broadmore Assisted Living | |
|
826 Meadow View Rd Bristol TN 37620 | |
| (423) 764-4622 | |
| Not Available |
| Full Name | Broadmore Assisted Living |
|---|---|
| Speciality | Family Medicine |
| Location | 826 Meadow View Rd, Bristol, Tennessee |
| Authorized Official Name and Position | Russell E Lewis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4234336050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadmore Assisted Living Po Box 699 Mountain Home TN 37684-0699 Ph: (423) 433-6050 | Broadmore Assisted Living 826 Meadow View Rd Bristol TN 37620 Ph: (423) 764-4622 |
| NPI Number | 1013288810 |
|---|---|
| Provider Enumeration Date | 01/25/2012 |
| Last Update Date | 02/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013288810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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