Bonny Crest Choice Living LLC

NPI #1578272969 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1578272969
Entity Type: Organization
Organization Name: Bonny Crest Choice Living LLC
Primary Specialty: Case Management
Enumeration Date: Nov 15, 2022
Last Updated: Nov 15, 2022

Practice Location

Address: 700 W FORT WORTH ST
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-3719
Phone: (918) 949-4555

Authorized Official

Name: MR. CHRIS JUMBO
Title: DIRECTOR/ADMINISTRATOR
Phone: (918) 949-4555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X
Nursing Care	251J00000X
Respite Care	385H00000X
Case Management	251B00000X	Primary

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