NPI | 1578560025 |
---|---|
Doing Business As | KA PUNAWAI OLA |
Entity Type | Organization |
Authorized Contact | CINDY S CROSS Assistant Secretary To Lcca, Mgr 423-473-5867 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: HI 59-N) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2008-11-24 |