| NPI | 1053648576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D. CARETHERS Associate Chief Of Staff Md 808-443-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: HI 979968) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |