ABRIGHTERLIGHTRESDIENTIAL CARE HOME LLC NPI 1073994596

NPI Information

NPI: 1073994596
Provider Name: ABRIGHTERLIGHTRESDIENTIAL CARE HOME LLC
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
2708 S HEMLOCK AVE
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 378-5686
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ABRIGHTERLIGHTRESDIENTIAL CARE HOME LLC is a residential treatment facility physical disabilities in Broken Arrow, OK. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. ABRIGHTERLIGHTRESDIENTIAL CARE HOME LLC NPI is 1073994596. 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) 378-5686
Fax: (918) 286-1404

The provider's authorized official is Patti Lynn Birge .
The authorized official title is Owner/administor and has the following contact phone number (918) 378-5686.

The enumeration date for this NPI number is 6/10/2015 and was last updated on 6/10/2015.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320700000X	Residential Treatment Facility, Physical Disabilities		RC7276	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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