Organization
MENOR FOSTER HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLYNNE MENOR (CAREGIVER)
(808) 343-3606
Entity
Organization
Contact information
Practice address
1428 KAUMOLI PL, PEARL CITY, HI 96782-1921
(808) 343-3606
Mailing address
1428 KAUMOLI PL, PEARL CITY, HI 96782-1921
(808) 343-3606
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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