Organization
M & C FOSTER CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKI MANANSALA (REGISTERED NURSE)
(509) 619-5836
Entity
Organization
Contact information
Practice address
3093 WOOLSEY PL, HONOLULU, HI 96822-1569
(509) 619-5836
(808) 988-6452
Mailing address
3093 WOOLSEY PL, HONOLULU, HI 96822-1569
(509) 619-5836
(808) 988-6452
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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