Organization
BONA VISTA PROGRAMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MILNER (CONTROLLER)
(765) 457-8273
Entity
Organization
Contact information
Practice address
1901 W GOLDEN HILLS DR, PERU, IN 46970-7224
(765) 457-8273
(765) 456-3503
Mailing address
1220 LAGUNA ST, KOKOMO, IN 46902-2330
(765) 457-8273
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
08/15/2008
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