NPI 1699121020

A Brighter Light Residential Care Home LLC

Organisation Adult Care Home Facility Broken Arrow, OK

Practice location

Address: 2708 S Hemlock Ave, Broken Arrow, OK 74012-0817
Phone: (918) 286-8686
Fax: (918) 286-1404

Authorised official

Name: Patti Lynn Birge
Title: Owner/ Administrator
Phone: (918) 286-8686

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence RC72767276 (OK)

Other Custodial Care Facility providers in Oklahoma →

Registry record

NPI: 1699121020
Entity type: Organization
NPI issued: 4 May 2016
Record last updated: 4 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.