Organization
BONA VISTA PROGRAMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL S DUNN (PRESIDENT)
(765) 457-8273
Entity
Organization
Contact information
Practice address
112 WESTMORELAND DR E, KOKOMO, IN 46901-5104
(765) 457-8273
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
—
IN
Other
Enumeration date
03/16/2011
Last updated
03/22/2011
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