Organization
BONNIE'S GUEST HOUSE INC.
Active
Other names
Bonnies Guest House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DESIREE ALVARADO (CERTIFIED ADMINISTRATOR)
(213) 400-1502
Entity
Organization
Contact information
Practice address
135 N BONNIE AVE, PASADENA, CA 91106-2103
(213) 400-1502
Mailing address
135 N BONNIE AVE, PASADENA, CA 91106-2103
(213) 400-1502
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
198601069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198601069
COMMUNITY CARE LICENSING DIVISION
CA
Enumeration date
04/03/2017
Last updated
04/03/2017
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