Bonavente Icf Ddn Home
Bonavente Icf Ddn Home is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fresno, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
6404 N Cornelia AveFresno, CA 93722-3645
Phone: (559) 271-5245
Fax: (559) 277-4708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X (CA) |
|---|
Record details
| NPI number | 1841345782 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nida Bonavente — President · (559) 271-5245 |
| NPI enumerated | January 23, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 6404 N Cornelia Ave, Fresno, CA 93722-3645 |
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