NPI | 1407108368 |
---|---|
Entity Type | Organization |
Authorized Contact | GEOVANEE SANTIAGO LAYA Member 808-722-1039 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: HI 68352) |
Enumeration Date | 2012-10-02 |
Last Update Date | 2012-10-02 |