Organization
BONAVENTE CORPORATION
Active
Other names
BONAVENTE FREMONT HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIDA A BONAVENTE (OWNER / PRESIDENT)
(559) 313-9052
Entity
Organization
Contact information
Practice address
6429 N ELLENDALE AVE, FRESNO, CA 93722-2410
(559) 271-9803
(559) 275-8438
Mailing address
6429 N ELLENDALE AVE, FRESNO, CA 93722-2410
(559) 271-9803
(559) 275-8438
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
05/21/2008
Last updated
08/12/2008
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