# A BRIGHTER LIGHT RESIDENTIAL CARE HOME LLC

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

## Provider details

- **NPI number:** 1699121020
- **Authorized official:** PATTI LYNN BIRGE (OWNER/ ADMINISTRATOR)
- **Authorized official phone:** (918) 286-8686

## Contact information

- **Practice address:** 2708 S HEMLOCK AVE, BROKEN ARROW, OK 74012-0817
- **Practice address phone:** (918) 286-8686
- **Practice address fax:** (918) 286-1404
- **Mailing address:** 2708 S HEMLOCK AVE, BROKEN ARROW, OK 74012-0817
- **Mailing address phone:** (918) 286-8686
- **Mailing address fax:** (918) 286-1404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | RC72767276 | OK | Yes |

## Other

- **Enumeration date:** 05/04/2016
- **Last updated:** 05/04/2016
