Organization
BONITA HOMECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GASHAW HAILU GEBRESELASSIE SR ENGINEER (PRESIDENT)
(619) 746-6978
Entity
Organization
Contact information
Practice address
319 F ST, SUITE 205, CHULA VISTA, CA 91910-2666
(619) 746-6978
(619) 779-7081
Mailing address
319 F ST, SUITE 205, CHULA VISTA, CA 91910-2666
(619) 746-6978
(619) 779-7081
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Enumeration date
04/08/2016
Last updated
07/21/2022
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