# HOLLY SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holly Waonoen Adult Day Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609635820
- **Authorized official:** MR. KAN KOSUGI (CEO)
- **Authorized official phone:** (626) 333-6767

## Contact information

- **Practice address:** 11100 VALLEY BLVD STE 340, EL MONTE, CA 91731-2509
- **Practice address phone:** (626) 333-6767
- **Mailing address:** PO BOX 1521, HONOLULU, HI 96806-1521
- **Mailing address phone:** (626) 333-6767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/18/2024
- **Last updated:** 12/23/2025