M & C Foster Care Home LLC

NPI #1083191027 in Honolulu, Hawaii

Provider Information

NPI Number: 1083191027
Entity Type: Organization
Organization Name: M & C Foster Care Home LLC
Primary Specialty: Custodial Care Facility
Enumeration Date: Jul 23, 2018
Last Updated: Jul 23, 2018

Practice Location

Address: 3093 WOOLSEY PL
City: Honolulu
State: Hawaii
ZIP Code: 96822-1569
Phone: (509) 619-5836

Authorized Official

Name: MIKI MANANSALA
Title: REGISTERED NURSE
Phone: (509) 619-5836

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Custodial Care Facility	311Z00000X	Primary

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