NPI 1033418066

Bona Vista Programs, INC.

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

Practice location

Address: 3770 W 80 N, Kokomo, IN 46901-3854
Phone: (765) 457-8273
Mailing address: 1220 Laguna St, Kokomo, IN 46902-2330

Authorised official

Name: Jill S Dunn
Title: President
Phone: (765) 457-8273

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1033418066
Entity type: Organization
NPI issued: 16 Mar 2011
Record last updated: 22 Mar 2011

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.