OrganizationActive
Broken Arrow, Inc.
NPI 1619570231 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bucyrus, OH
Provider details
- NPI number
- 1619570231
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jayne Hanning, Director(419) 562-3480
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1649 Marion Rd
Bucyrus, OH 44820-3116
Phone: (419) 562-3480
Approximate (ZIP-level) locationGet directions
Mailing address
1649 Marion Rd
Bucyrus, OH 44820-3116
Registry dates
- Enumerated
- 2020-11-17
- Last updated
- 2020-11-17
- Certified
- 2020-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.