| NPI | 1063704492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUFRACIO MAYUBAY BUGARIN Primary Caregiver 808-239-4796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |