Organization
BONITA GUEST HOME LLC
Active
Organization
BONITA GUEST HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX CAROLINO (ADMINISTRATOR)
(619) 472-8884
Entity
Organization
Contact information
Practice address
5735 SUNNY VIEW DR, BONITA, CA 91902-2952
(619) 472-8884
(619) 472-8884
Mailing address
5735 SUNNY VIEW DR, BONITA, CA 91902-2952
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/27/2024
Last updated
06/07/2024
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