National Provider Identifier Database

ABRIGHTERLIGHTRESDIENTIAL CARE HOME LLC
Residential Treatment Facility, Physical Disabilities

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.


Contact Information

ABRIGHTERLIGHTRESDIENTIAL CARE HOME LLC
2708 S HEMLOCK AVE
BROKEN ARROW, OK74012-0817
Phone: 918-378-5686
Fax: 918-286-1404
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for ABRIGHTERLIGHTRESDIENTIAL CARE HOME LLC

NPI Number 1073994596
Legal business name
LBN
ABRIGHTERLIGHTRESDIENTIAL CARE HOME LLC
Authorized official PATTI BIRGE - (OWNER/ADMINISTOR)
Entity Organization
Organization subpart No
Enumeration date 06/10/2015
Last updated 06/10/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: RC7276

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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