Organization
BONNEY HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JULIANA OFOSUA BONNEY (OWNER/DIRECTOR)
(505) 879-1587
Entity
Organization
Contact information
Practice address
2021 BARBARA AVE, GALLUP, NM 87301-6705
(505) 879-1587
(505) 863-6113
Mailing address
2021 BARBARA AVE, GALLUP, NM 87301-6705
(505) 879-1587
(505) 863-6113
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D2823
—
NM
Enumeration date
12/22/2010
Last updated
12/22/2010
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