Organization
LUCAS, MELANIE G
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE LUCAS (OWNER)
(808) 678-8248
Entity
Organization
Contact information
Practice address
94-272 PUPUKOAE ST, WAIPAHU, HI 96797-2610
(808) 678-8248
Mailing address
94-272 PUPUKOAE ST, WAIPAHU, HI 96797-2610
(808) 678-8248
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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