| NPI | 1457954984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELECIA FROE Owner 808-349-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |