Organization
BUENA VISTA MANOR ARF INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA PATRICE BAGSBY OWNER (ADMINISTRATOR)
(310) 925-8857
Entity
Organization
Contact information
Practice address
11126 VISTA DEL VALLE DR, BAKERSFIELD, CA 93311-9191
(310) 925-8857
Mailing address
11126 VISTA DEL VALLE DR, BAKERSFIELD, CA 93311-9191
(310) 925-8857
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311ZA0620X
Adult Care Home Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548725922
—
CA
Enumeration date
02/10/2019
Last updated
09/19/2025
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