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Abrighterlightresdiential Care Home Llc
Physical Disabilities Residential Treatment Facility in Broken Arrow, Oklahoma
NPI 1073994596

Abrighterlightresdiential Care Home Llc is a Physical Disabilities Residential Treatment Facility based in Broken Arrow, OK. Abrighterlightresdiential Care Home Llc practices in Broken Arrow, OK. The NPI Number for Abrighterlightresdiential Care Home Llc is 1073994596 and holds a License No. RC7276 (Oklahoma).

The current practice location address for Abrighterlightresdiential Care Home Llc is 2708 S Hemlock Ave, Broken Arrow, OK and can be reached out via phone at 918-378-5686 and via fax at 918-286-1404.

Location: 2708 S Hemlock Ave, Broken Arrow, OK, 74012-0817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073994596
Provider Name
Abrighterlightresdiential Care Home Llc
Credential
Provider Entity Type
Organization
Address
2708 S Hemlock Ave, Broken Arrow, OK, 74012-0817
Phone Number
918-378-5686
Fax Number
918-286-1404
Provider Enumeration Date
06/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2708 S Hemlock Ave
City
Broken Arrow
State
Oklahoma
Zip
74012-0817
Phone Number
918-378-5686
Fax Number
918-286-1404
person
Provider Business Mailing Address Details
Address
2708 S Hemlock Ave
City
Broken Arrow
State
Oklahoma
Zip
74012-0817
Phone Number
918-378-5686
Fax Number
918-286-1404
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
RC7276 (Oklahoma)
Definition
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.
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