Bonavente Corporation
NPI #1447417811 in Fresno, California
Provider Information
- NPI Number
- 1447417811
- Entity Type
- Organization
- Organization Name
- Bonavente Corporation
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- May 21, 2008
- Last Updated
- Aug 12, 2008
Practice Location
- Address
- 6567 N LAUREEN AVE
- City
- Fresno
- State
- California
- ZIP Code
- 93710-4914
- Phone
- (559) 322-7235
Authorized Official
- Name
- MRS. NIDA A BONAVENTE
- Title
- OWNER / PRESIDENT
- Phone
- (559) 313-9052
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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