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
1413 DARBY AVE, KOKOMO, IN 46902-6048
(765) 457-8273
(765) 456-3503
Mailing address
1220 LAGUNA ST, KOKOMO, IN 46902-2330
(765) 457-8273
(765) 456-3503
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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