| NPI | 1316640402 |
|---|---|
| Former Legal Business Name | BONA VITA CARE |
| Entity Type | Organization |
| Authorized Contact | JOSEPH RICARDO GARCIA VARGAS Chief Executive Officer 310-874-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |