LUNALILO HOME
Adult Care Home
Honolulu, Hawaii
Provider NPI: 1609098144
Organization Information:Organization Name: LUNALILO HOME
Practice Location:
501 KEKAULUOHI STREET HONOLULU, HI 96825 US
Tel: 808-394-1464 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
501 KEKAULUOHI STREET HONOLULU, HI 96825 US
Tel: 808-394-1464 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | HI | 1295-C |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
583478-01 | HI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin