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Organization

BONNY CREST CHOICE LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRIS JUMBO (DIRECTOR/ADMINISTRATOR)
(918) 949-4555
Entity
Organization

Contact information

Practice address
700 W FORT WORTH ST, BROKEN ARROW, OK 74012-3719
(918) 949-4555
(918) 933-5352
Mailing address
700 W FORT WORTH ST, BROKEN ARROW, OK 74012-3719
(918) 949-4555
(918) 933-5352

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
385H00000X
Respite Care

Other

Enumeration date
11/15/2022
Last updated
11/15/2022
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