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Full Life Family Resource Center LLC

Community/Behavioral Health Agency in Broken Bow, OK · enumerated 2014 · authorized official Glynis Daniel, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215353016

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Registry record

Entity type Organization (Type 2)
Legal business name Full Life Family Resource Center LLC
Practice address 205 Main St, Broken Bow, OK, 74728
Fax (580) 584-2478
Enumeration date Mar 17, 2014
Last updated in NPPES Mar 17, 2014

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies · License 3881 (OK) Primary

Authorized official

Name Glynis Daniel
Title President

Other identifiers

Identifier Type State Issuer
447-76-2689 Medicaid OK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Full Life Family Resource Center LLC?
Full Life Family Resource Center LLC is registered in NPPES as a Community/Behavioral Health Agency (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-03-17.