| NPI | 1992792733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL HATA CFO 808-247-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: HI 61-N) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2022-10-03 |