NPI 1407108368

Freedom Care Home LLC

Organisation Adult Care Home Facility Ewa Beach, HI

Practice location

Address: 91-1191 Kamoawa St, Ewa Beach, HI 96706-4506
Phone: (808) 722-1039
Fax: (808) 312-4189

Authorised official

Name: Geovanee Santiago Laya
Title: Member
Phone: (808) 722-1039

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 68352 (HI)

Other Custodial Care Facility providers in Hawaii →

Registry record

NPI: 1407108368
Entity type: Organization
NPI issued: 2 Oct 2012
Record last updated: 2 Oct 2012

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.