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Marysol Duldulao Ganotisi
Adult Care Home Facility in Lihue, Hawaii
NPI 1093300568

Marysol Duldulao Ganotisi is an Adult Care Home Facility based in Lihue, HI and is specialized in Adult Care Home. Marysol Duldulao Ganotisi practices in Lihue, HI. The NPI Number for Marysol Duldulao Ganotisi is 1093300568 and holds a License No. (Hawaii).

The current practice location address for Marysol Duldulao Ganotisi is 4272 Kailewa St, Lihue, HI and can be reached out via phone at 808-639-5754 and via fax at 808-212-1287. You can also correspond with Marysol Duldulao Ganotisi through the mailing address at 4272 KAILEWA ST, LIHUE, HI - 96766-9410 (mailing address contact number: 808-639-5754).

Location: 4272 Kailewa St, Lihue, HI, 96766-9410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093300568
Provider Name
Marysol Duldulao Ganotisi
Credential
Provider Entity Type
Individual
Gender
Female
Address
4272 Kailewa St, Lihue, HI, 96766-9410
Phone Number
808-639-5754
Fax Number
808-212-1287
Provider Enumeration Date
03/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4272 Kailewa St
City
Lihue
State
Hawaii
Zip
96766-9410
Phone Number
808-639-5754
Fax Number
808-212-1287
person
Provider Business Mailing Address Details
Address
4272 Kailewa St
City
Lihue
State
Hawaii
Zip
96766-9410
Phone Number
808-639-5754
Fax Number
808-212-1287
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
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Definition
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.
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