Broken Arrow, Llc in Broken Arrow - Assisted Living Facility
Broken Arrow, Llc - NPI 1063630671
Broken Arrow, Llc is a Assisted Living Facility in Broken Arrow, Oklahoma. Broken Arrow, Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Broken Arrow, Llc is 1063630671. The last update date is 2020-08-22.
Broken Arrow, Llc's current location address is 10107 S Garnett Rd, Broken Arrow, Oklahoma. You can contact this provider via phone number 9184611955. The mailing address for Broken Arrow, Llc is 10107 S Garnett Rd, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Broken Arrow, Llc |
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Address | 10107 S Garnett Rd, Broken Arrow, Oklahoma |
Phone Number | 9184611955 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MANAGER |
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Authorized Official Name | Harder Jon |
Telephone Number | 5034854600 |
NPI Number Detail
NPI Number | 1063630671 |
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Provider Enumeration Date | 2007-04-22 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 10107 S Garnett Rd |
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City | Broken Arrow |
State | Oklahoma (OK) |
Post Code | 740111118 |
Phone Number | 9184611955 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Assisted Living Facility |
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Taxonomy | 310400000X |
Licence No | AL7256-7265 |
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
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What is the Broken Arrow, Llc's 1063630671?
The Broken Arrow, Llc's NPI (National Provider Identifier) Number is 1063630671. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Broken Arrow, Llc?
The Broken Arrow, Llc is physically situated at 10107 S Garnett Rd, in the city of Broken Arrow, state of OK, with the postal code 740111118.
What is the Broken Arrow, Llc's specialty and taxonomy code?
The Broken Arrow, Llc's specialty is Assisted Living Facility, and the corresponding taxonomy code is 310400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063630671 to Broken Arrow, Llc?
The Centers for Medicare & Medicaid Services assigned the 1063630671 to Broken Arrow, Llc on 2007-04-22.
When was the Broken Arrow, Llc's information last updated?
The Broken Arrow, Llc's information was last updated on 2020-08-22.
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