OrganizationActive
Broador Horizon, Inc
NPI 1104096130 · Intellectual Disabilities Intermediate Care Facility · Glen Burnie, MD
Provider details
- NPI number
- 1104096130
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Kevin Mattison, Ceo
- License
- 0290 (MD)
Mailing address
199 Plymouth Ln
Glen Burnie, MD 21061-5652
Registry dates
- Enumerated
- 2008-03-05
- Last updated
- 2008-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.