| NPI | 1770922080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LARNA RUFFNER Chief Operating Officer 808-747-5464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |