Organization · Type 2 NPI

Bona Vista Programs, Inc.

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Peru, IN

NPI number 1033236104 Active

Practice location

1901 W Golden Hills Dr
Peru, IN 46970-7224

Fax (765) 456-3503

Mailing address

1220 Laguna St
Kokomo, IN 46902-2330

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1033236104

Bona Vista Programs, Inc.'s National Provider Identifier is 1033236104, issued on Mar 23, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Peru, IN. The record was last updated on Aug 15, 2008.