Mr. Michael Eldridge Bonincontri
Mr. Michael Eldridge Bonincontri is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Killeen, Texas. Practices as a sole proprietor. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1214 Alta Vista DrKilleen, TX 76549-1129
Phone: (254) 458-9509
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1447318399 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 4, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1214 Alta Vista Dr, Killeen, TX 76549-1129 |
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