Organization
HOLLY SERVICES, INC.
Active
Other names
Holly Waonoen Adult Day Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAN KOSUGI (CEO)
(626) 333-6767
Entity
Organization
Contact information
Practice address
11100 VALLEY BLVD STE 340, EL MONTE, CA 91731-2509
(626) 333-6767
Mailing address
PO BOX 1521, HONOLULU, HI 96806-1521
(626) 333-6767
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
03/18/2024
Last updated
12/23/2025
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