| Broom Investments | |
|
402 Thoroughbred Park Dr Thibodaux LA 70301-6151 | |
| (985) 859-1111 | |
| Not Available |
| Full Name | Broom Investments |
|---|---|
| Speciality | Clinic/Center |
| Location | 402 Thoroughbred Park Dr, Thibodaux, Louisiana |
| Authorized Official Name and Position | Lashonda Broom (CEO/PROGRAM MANAGER) |
| Authorized Official Contact | 9858591111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Broom Investments 263 Morristown Rd Raceland LA 70394-3130 Ph: (985) 859-1111 | Broom Investments 402 Thoroughbred Park Dr Thibodaux LA 70301-6151 Ph: (985) 859-1111 |
| NPI Number | 1285316067 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 08/02/2023 |
| Medicare PECOS PAC ID | 5799131397 |
|---|---|
| Medicare Enrollment ID | O20231101002961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285316067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Denise M Josey |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1376801589 PECOS PAC ID: 3274806070 Enrollment ID: I20231031002130 |
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