| NPI | 1801053277 |
|---|---|
| Doing Business As | BONAVENTE FREMONT HOME |
| Entity Type | Organization |
| Authorized Contact | NIDA A BONAVENTE Owner / President 559-313-9052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-08-12 |