# BROOKRIDGE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134326911
- **Authorized official:** SAM GHOSN (ADMIN)
- **Authorized official phone:** (580) 536-9700

## Contact information

- **Practice address:** 7802 NW QUANAH PARKER TRAILWAY, LAWTON, OK 73505
- **Practice address phone:** (580) 536-9700
- **Practice address fax:** (580) 536-7954
- **Mailing address:** 7802 NW QUANAH PARKER TRAILWAY, LAWTON, OK 73505
- **Mailing address phone:** (580) 536-9700
- **Mailing address fax:** (580) 536-7954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 08/22/2020