NPI 1083191027

M & C Foster Care Home LLC

Organisation Custodial Care Facility Honolulu, HI

Practice location

Address: 3093 Woolsey Pl, Honolulu, HI 96822-1569
Phone: (509) 619-5836
Fax: (808) 988-6452

Authorised official

Name: Miki Manansala
Title: Registered Nurse
Phone: (509) 619-5836

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X

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Registry record

NPI: 1083191027
Entity type: Organization
NPI issued: 23 Jul 2018
Record last updated: 23 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.