Organization
VALLEY ISLE SENIOR CARE
Active
Other names
Adult residential care home, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILTON T NASU (OPERATOR)
(808) 227-8450
Entity
Organization
Contact information
Practice address
345 S LEHUA ST, KAHULUI, KAHULUI, HI 96732-9673
(808) 227-8450
(808) 227-8450
Mailing address
345 S LEHUA ST, KAHULUI, HI 96732-2641
(808) 227-8450
(808) 395-6019
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GE077954048001
GE LICENSE
—
Enumeration date
08/02/2017
Last updated
06/16/2018
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