NPI | 1659658664 |
---|---|
Doing Business As | 15 CRAIGSIDE |
Entity Type | Organization |
Authorized Contact | EMMET WHITE Chief Executive Officer 808-983-1823 |
Organization Subpart ? | Yes |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: HI 79-N) |
Enumeration Date | 2011-11-04 |
Last Update Date | 2014-02-27 |