| NPI | 1306261235 |
|---|---|
| Other Name | ADULT FOSTER HOME |
| Entity Type | Organization |
| Authorized Contact | OLIVIA SABIO LEWIN Owner 808-223-5052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2014-03-01 |
| Last Update Date | 2014-03-01 |