Organization
KAREN GAY ANTONIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AILEEN BACHILLER (OFFICE MANAGER)
(808) 375-7113
Entity
Organization
Contact information
Practice address
91 952 HANAKAHI ST, EWA BEACH, HI 96706
(808) 888-2933
Mailing address
91 952 HANAKAHI ST, EWA BEACH, HI 96706
(808) 888-2933
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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