Provider Demographics
NPI:1861868960
Name:MALAMA ADULT DAY CARE LLC
Entity type:Organization
Organization Name:MALAMA ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOSHIDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-687-3224
Mailing Address - Street 1:1208 ARTESIAN ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-1318
Mailing Address - Country:US
Mailing Address - Phone:808-946-9672
Mailing Address - Fax:808-955-4181
Practice Address - Street 1:1208 ARTESIAN ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1318
Practice Address - Country:US
Practice Address - Phone:808-946-9672
Practice Address - Fax:808-955-4181
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ITO FAMILY HOLDINGS CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1-1013261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care