Healthcare Provider Details

I. General information

NPI: 1013221357
Provider Name (Legal Business Name): ADORA HARADA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2010
Last Update Date: 07/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2818 KOANIANI WAY
HONOLULU HI
96822-1828
US

IV. Provider business mailing address

2818 KOANIANI WAY
HONOLULU HI
96822-1828
US

V. Phone/Fax

Practice location:
  • Phone: 808-988-6844
  • Fax: 808-988-6844
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: