Organization
BROOKRIDGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM GHOSN (ADMIN)
(580) 536-9700
Entity
Organization
Contact information
Practice address
7802 NW QUANAH PARKER TRAILWAY, LAWTON, OK 73505
(580) 536-9700
(580) 536-7954
Mailing address
7802 NW QUANAH PARKER TRAILWAY, LAWTON, OK 73505
(580) 536-9700
(580) 536-7954
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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