Bona Vita Care LLC
In Home Supportive Care in Hawthorne, CA. Organization (NPI-2).
NPI number1316640402
StatusActive
Last updated in NPPESMar 27, 2023
Details
- NPI
- 1316640402
- Entity type
- Organization (NPI-2)
- Legal business name
- Bona Vita Care LLC
- Organization subpart
- No
- Enumeration date
- Mar 27, 2023
- Certification date
- Mar 25, 2023
- Last updated
- Mar 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Other names
- Bona Vita Care (Former Legal Business Name)
Practice location
13444 Prairie Ave Apt 10Hawthorne, CA 90250-6088
Phone 310-874-2225
Mailing address
13444 Prairie Ave Apt 10Hawthorne, CA 90250-6088
Phone 310-874-2225
Authorized official
Joseph Ricardo Garcia Vargas
Chief Executive Officer
3108742225
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