# PASIANA SPELLICY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194051839
- **Authorized official:** MRS. PASIANA MAGSAYO SPELLICY (CNA)
- **Authorized official phone:** (808) 214-6065

## Contact information

- **Practice address:** 17 KUULA ST, KAHULUI, HI 96732-2906
- **Practice address phone:** (808) 214-6965
- **Mailing address:** 17 KUULA ST, KAHULUI, HI 96732-2906
- **Mailing address phone:** (808) 214-6965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | W09834492-01 | HI | Yes |

## Other

- **Enumeration date:** 10/31/2009
- **Last updated:** 10/31/2009