NPI 1194842773

Bona Vista Programs, INC.

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

Practice location

Address: 1413 Darby Ave, Kokomo, IN 46902-6048
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

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Registry record

NPI: 1194842773
Entity type: Organization
NPI issued: 26 Mar 2007
Record last updated: 22 Aug 2020

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.