| NPI | 1194051839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASIANA MAGSAYO SPELLICY Cna 808-214-6065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: HI W09834492-01) |
| Enumeration Date | 2009-10-31 |
| Last Update Date | 2009-10-31 |