A BRIGHTER LIGHT RESIDENTIAL CARE HOME LLC NPI 1699121020

NPI Information

A BRIGHTER LIGHT RESIDENTIAL CARE HOME LLC is an adult care home custodial care facility in Broken Arrow, OK. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. A BRIGHTER LIGHT RESIDENTIAL CARE HOME LLC NPI is 1699121020. The provider is registered as an organization entity type.

The provider's business location address is:

2708 S HEMLOCK AVE
BROKEN ARROW, OK
ZIP 74012-817
Phone: (918) 286-8686
Fax: (918) 286-1404

The provider's authorized official is Patti Lynn Birge .
The authorized official title is Owner/ Administrator and has the following contact phone number (918) 286-8686.

The enumeration date for this NPI number is 5/4/2016 and was last updated on 5/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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