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Organization
HOLLY SERVICES, INC.
Active
Organization
HOLLY SERVICES, INC.
Active
Other names
Holly Waonoen Adult Day Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAN KOSUGI (CEO)
(626) 333-6767
Entity
Organization
Contact information
Practice address
11100 VALLEY BLVD STE 340, EL MONTE, CA 91731-2509
(626) 333-6767
Mailing address
PO BOX 1521, HONOLULU, HI 96806-1521
(626) 333-6767
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
Other
Enumeration date
03/18/2024
Last updated
12/23/2025
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