Bonavente Corporation
NPI #1801053277 in Fresno, California
Provider Information
- NPI Number
- 1801053277
- 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
- 6429 N ELLENDALE AVE
- City
- Fresno
- State
- California
- ZIP Code
- 93722-2410
- Phone
- (559) 271-9803
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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