| NPI | 1730499807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITA VALDEZ RIINGEN Owner/Operator 808-982-3658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: HI W05576310-03) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |