NPI 1053568295
Bona Vista Programs, INC.
Practice location
- Address
- 2453 S 100 E, Peru, IN 46970-7480
- Phone
- (765) 457-8273
- 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
Registry record
- NPI
- 1053568295
- Entity type
- Organization
- NPI issued
- 19 Aug 2008
- Record last updated
- 19 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.