# BONA VITA CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bona Vita Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316640402
- **Authorized official:** JOSEPH RICARDO GARCIA VARGAS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (310) 874-2225

## Contact information

- **Practice address:** 13444 PRAIRIE AVE APT 10, HAWTHORNE, CA 90250-6088
- **Practice address phone:** (310) 874-2225
- **Mailing address:** 13444 PRAIRIE AVE APT 10, HAWTHORNE, CA 90250-6088
- **Mailing address phone:** (310) 874-2225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2023
- **Last updated:** 03/27/2023