Healthcare Provider Details

I. General information

NPI: 1518677343
Provider Name (Legal Business Name): PALOLO CHINESE HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2022
Last Update Date: 12/02/2022
Certification Date: 12/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2459 10THA AVE
HONOLULU HI
96816-3051
US

IV. Provider business mailing address

2459 10TH AVE
HONOLULU HI
96816-3051
US

V. Phone/Fax

Practice location:
  • Phone: 808-737-2555
  • Fax: 808-748-7997
Mailing address:
  • Phone: 808-564-5228
  • Fax: 808-564-5294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DARLENE NAKAYAMA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 808-732-0488