| NPI | 1891580361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE ACOSTA Owner 808-640-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |