| NPI | 1710401666 |
|---|---|
| Doing Business As | LLC |
| Doing Business As | ADULT RESIDENTIAL CARE HOME |
| Entity Type | Organization |
| Authorized Contact | MILTON T NASU Operator 808-227-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2018-06-16 |