| NPI | 1356403976 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | JAYVIE AGCAOILI SUMOBA Owner 808-982-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: HI w02297664-01) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-06-23 |