Whalio Doctors

NPI 1033236104

Bona Vista Programs, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Peru, IN

Practice location

Address
1901 W Golden Hills Dr, Peru, IN 46970-7224
Phone
(765) 457-8273
Fax
(765) 456-3503
Mailing address
1220 Laguna St, Kokomo, IN 46902-2330

Authorised official

Name
James Milner
Title
Controller
Phone
(765) 457-8273

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1033236104
Entity type
Organization
NPI issued
23 Mar 2007
Record last updated
15 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.