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Eredulin V Julian
Adult Care Home Facility in Keaau, Hawaii
NPI 1922375211

Eredulin V Julian is an Adult Care Home Facility based in Keaau, HI and is specialized in Adult Care Home. Eredulin V Julian practices in Keaau, HI. The NPI Number for Eredulin V Julian is 1922375211 and holds a License No. 531819 (Hawaii).

The current practice location address for Eredulin V Julian is 17-202 Ipuaiwaha St, Keaau, HI and can be reached out via phone at 808-966-5450 and via fax at 808-966-5450.

Location: 17-202 Ipuaiwaha St, Keaau, HI, 96749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922375211
Provider Name
Eredulin V Julian
Credential
Provider Entity Type
Organization
Address
17-202 Ipuaiwaha St, Keaau, HI, 96749
Phone Number
808-966-5450
Fax Number
808-966-5450
Provider Enumeration Date
11/30/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
376K00000X 01 TAXONOMY CODE
531819 05 HI
institution
Provider Business Practice Location Address Details
Address
17-202 Ipuaiwaha St
City
Keaau
State
Hawaii
Zip
96749-8229
Phone Number
808-966-5450
Fax Number
808-966-5450
person
Provider Business Mailing Address Details
Address
17-202 Ipuaiwaha St
City
Keaau
State
Hawaii
Zip
96749-8229
Phone Number
808-966-5450
Fax Number
808-966-5450
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
531819 (Hawaii)
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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