| NPI | 1942391537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUCK S IBARA Recreation Therapist 808-433-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-08-08 |