Organization Name: | BONA FIDE CARE, LLC |
NPI Number: | 1265734198 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES CHIBUZO EBUNOHA (MANAGER/CEO) |
Mailing Address: | 7995 W Sunfire Dr Tucson |
State: | AZ US |
Postal Code: | 857431517 |
Phone Number: | 5205440036 |
Fax Number: | 5207421081 |
NPI Enumeration Date: | 11/29/2010 |
NPI Last Update Date: | 08/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |