OrganizationActive
Broadway Manor Limited Liability
NPI 1740668755 · Assisted Living Facility · Greenville, MS
Provider details
- NPI number
- 1740668755
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jmelba Thompson, Director(662) 702-5007
- License
- 1096 (MS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
446 N Broadway Street
Greenville, MS 38701-2552
Phone: (662) 702-5007
Approximate (ZIP-level) locationGet directions
Mailing address
515 N Broadway St
Greenville, MS 38701-2552
Other names (DBA / former)
- Other name
- Broadway Manor Residential Carehome
Registry dates
- Enumerated
- 2015-05-11
- Last updated
- 2015-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.