MAWICELICA M. BALISACAN

WAIPAHU, HI
NPI1861168593
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: HI  1-210057)
Enumeration Date2021-08-22
Last Update Date2021-08-22
Business Address
MAWICELICA M. BALISACAN
94-941 KUHAULUA ST
WAIPAHU, HI 96797-2844
Phone number: 808-304-3590
Mailing Address
MAWICELICA M. BALISACAN
94-941 KUHAULUA ST
WAIPAHU, HI 96797-2844
Phone number: 808-304-3590