Organization
KONA ADULT DAY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROWENA L. TIQUI (EXECUTIVE DIRECTOR)
(808) 322-7977
Entity
Organization
Contact information
Practice address
81989 HALEKII STREET, KEALAKEKUA, HI 96750
(808) 322-7977
(808) 322-0614
Mailing address
PO BOX 1360, KEALAKEKUA, HI 96750-1360
(808) 322-7922
(808) 322-0614
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
385H00000X
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518300
—
HI
Enumeration date
10/09/2008
Last updated
10/09/2008
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