Organization · Type 2 NPI
Eredulin V Julian
Adult Care Home Facility · Keaau, HI
NPI number
1922375211
Active
Practice location
17-202 Ipuaiwaha St
Keaau, HI 96749-8229
Fax (808) 966-5450
Mailing address
17-202 Ipuaiwaha St.
Keaau, HI 96749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 531819 (HI) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Keaau
About NPI 1922375211
Eredulin V Julian's National Provider Identifier is 1922375211, issued on Nov 30, 2011. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Keaau, HI. The record was last updated on Nov 30, 2011.