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Organization

BONITA HOUSE, INC.

Active
Parent organization
BONITA HOUSE INC
Other names
Supported Independent Living
Organization subpart
Yes

Provider details

NPI number
Legal business name
BONITA HOUSE INC
Authorized official
LAURA EVON WEISSBERGER (EXECUTIVE DIRECTOR)
(510) 593-1950
Entity
Organization

Contact information

Practice address
1605 JEFFERSON ST, OAKLAND, CA 94612-1215
(510) 923-1099
Mailing address
150 GRAND AVE STE 200, OAKLAND, CA 94612-3726
(510) 923-1099
(510) 923-0894

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
01113
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01113
CA
Enumeration date
05/14/2007
Last updated
06/25/2026
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