OrganizationActive
Abrighterlightresdiential Care Home LLC
NPI 1073994596 · Physical Disabilities Residential Treatment Facility · Broken Arrow, OK
Provider details
- NPI number
- 1073994596
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Patti Birge, Owner/Administor
- License
- RC7276 (OK)
Practice location
2708 S Hemlock Ave
Broken Arrow, OK 74012-0817
Phone: (918) 378-5686
Fax: (918) 286-1404
Mailing address
2708 S Hemlock Ave
Broken Arrow, OK 74012-0817
Registry dates
- Enumerated
- 2015-06-10
- Last updated
- 2015-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.