Organization
BONA VITA CARE LLC
Active
Other names
Bona Vita Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH RICARDO GARCIA VARGAS (CHIEF EXECUTIVE OFFICER)
(310) 874-2225
Entity
Organization
Contact information
Practice address
13444 PRAIRIE AVE APT 10, HAWTHORNE, CA 90250-6088
(310) 874-2225
Mailing address
13444 PRAIRIE AVE APT 10, HAWTHORNE, CA 90250-6088
(310) 874-2225
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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