Organization
A BRIGHTER LIGHT RESIDENTIAL CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI LYNN BIRGE (OWNER/ ADMINISTRATOR)
(918) 286-8686
Entity
Organization
Contact information
Practice address
2708 S HEMLOCK AVE, BROKEN ARROW, OK 74012-0817
(918) 286-8686
(918) 286-1404
Mailing address
2708 S HEMLOCK AVE, BROKEN ARROW, OK 74012-0817
(918) 286-8686
(918) 286-1404
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
RC72767276
OK
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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