| NPI | 1598082745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY CORREA Chief Administrator 808-547-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: HI to be obtained) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |