| 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 |