A Brighter Light Residential Care Home LLC
NPI #1699121020 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1699121020
- Entity Type
- Organization
- Organization Name
- A Brighter Light Residential Care Home LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- May 4, 2016
- Last Updated
- May 4, 2016
Practice Location
- Address
- 2708 S HEMLOCK AVE
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-0817
- Phone
- (918) 286-8686
Authorized Official
- Name
- PATTI LYNN BIRGE
- Title
- OWNER/ ADMINISTRATOR
- Phone
- (918) 286-8686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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