Organization · Type 2 NPI
Abrighterlightresdiential Care Home LLC
Physical Disabilities Residential Treatment Facility · Broken Arrow, OK
NPI number
1073994596
Active
Practice location
2708 S Hemlock Ave
Broken Arrow, OK 74012-0817
Fax (918) 286-1404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | RC7276 (OK) |
Physical Disabilities Residential Treatment Facility: 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.
Another provider at this address
Other physical disabilities residential treatment facility providers in Broken Arrow
About NPI 1073994596
Abrighterlightresdiential Care Home LLC's National Provider Identifier is 1073994596, issued on Jun 10, 2015. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Broken Arrow, OK. The record was last updated on Jun 10, 2015.