Broken Arrow, LLC
NPI #1063630671 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1063630671
- Entity Type
- Organization
- Organization Name
- Broken Arrow, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 22, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 10107 S GARNETT RD
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74011-1118
- Phone
- (918) 461-1955
Authorized Official
- Name
- JON HARDER
- Title
- MANAGER
- Phone
- (503) 485-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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