Organization · Type 2 NPI

Broken Arrow, LLC

Assisted Living Facility · Broken Arrow, OK

NPI number 1063630671 Active

Practice location

10107 S Garnett Rd
Broken Arrow, OK 74011-1118

Mailing address

3723 Fairview Industrial Dr SE
Salem, OR 97302-1177

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL7256-7265 (OK)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2 other providers at this address

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About NPI 1063630671

Broken Arrow, LLC's National Provider Identifier is 1063630671, issued on Apr 22, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Broken Arrow, OK. The record was last updated on Aug 22, 2020.