Broken Arrow Nursing Home INC
NPI #1801913371 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1801913371
- Entity Type
- Organization
- Organization Name
- Broken Arrow Nursing Home INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Mar 11, 2016
Practice Location
- Address
- 424 N DATE AVE
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-3872
- Phone
- (918) 251-5343
Authorized Official
- Name
- MRS. JOANNA MAE COOPER
- Title
- OWNER OPERATOR
- Phone
- (918) 251-5343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Skilled Nursing Facility |
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