| NPI | 1831895556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLA MARIE TAGUDIN VALENCIA President 808-222-5485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-02-03 |