| NPI | 1558346528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAICHAY CHANTAVY Executive Director Secretary 808-732-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: HI 5N) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: HI 5N) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2016-02-22 |