| NPI | 1609635820 |
|---|---|
| Doing Business As | HOLLY WAONOEN ADULT DAY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | KAN KOSUGI CEO 626-333-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2025-12-23 |