Organization
BROKEN ARROW, LLC
Active
Other names
Cedar Ridge at Broken Arrow
Organization subpart
No
Provider details
NPI number
Authorized official
JON HARDER (MANAGER)
(503) 485-4600
Entity
Organization
Contact information
Practice address
10107 S GARNETT RD, BROKEN ARROW, OK 74011-1118
(918) 461-1955
Mailing address
3723 FAIRVIEW INDUSTRIAL DR SE, SALEM, OR 97302-1177
(503) 485-4600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7256-7265
OK
Other
Enumeration date
04/22/2007
Last updated
08/22/2020
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