| NPI | 1114253853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JEAN BARBADO URSUA Lpn 808-877-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: HI W03609234-01) |
| Enumeration Date | 2009-11-01 |
| Last Update Date | 2009-11-01 |