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Broken Arrow, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bucyrus, Ohio
NPI 1619570231

Broken Arrow, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Bucyrus, OH. Broken Arrow, Inc. practices in Bucyrus, OH. The NPI Number for Broken Arrow, Inc. is 1619570231 and holds a License No. (Ohio).

The current practice location address for Broken Arrow, Inc. is 1649 Marion Rd, Bucyrus, OH and can be reached out via phone at 419-562-3480.

Location: 1649 Marion Rd, Bucyrus, OH, 44820-3116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619570231
Provider Name
Broken Arrow, Inc.
Credential
Provider Entity Type
Organization
Address
1649 Marion Rd, Bucyrus, OH, 44820-3116
Phone Number
419-562-3480
Fax Number
Provider Enumeration Date
11/17/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0876842 05 OH
institution
Provider Business Practice Location Address Details
Address
1649 Marion Rd
City
Bucyrus
State
Ohio
Zip
44820-3116
Phone Number
419-562-3480
Fax Number
person
Provider Business Mailing Address Details
Address
1649 Marion Rd
City
Bucyrus
State
Ohio
Zip
44820-3116
Phone Number
419-562-3480
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
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Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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