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Organization

KOREAN CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SAMSIL CANNON (ADMINISTRATOR)
(808) 533-3157
Entity
Organization

Contact information

Practice address
525 KIAPU PLACE, KOREAN CARE HOME, HONOLULU, HI 96817
(808) 533-3157
Mailing address
525 KIAPU PLACE, KOREAN CARE HOME, HONOLULU, HI 96817
(808) 533-3157

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
OHCA#105-C
HI

Other

Enumeration date
07/06/2012
Last updated
07/06/2012
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