Eredulin V Julian
Organization Active NPI Adult Care Home Facility · Keaau, HI
NPI 1922375211 · NPPES record last updated Nov 30, 2011
Key facts
- NPI
- 1922375211
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- 531819 (HI)
- Legal business name
- EREDULIN V JULIAN
- Practice address
- 17-202 Ipuaiwaha St
Keaau, HI 96749-8229 - Phone
- (808) 966-5450
- Fax
- (808) 966-5450
- NPI assigned
- Nov 30, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Eredulin V Julian
- Title
- Owner
- Phone
- (808) 966-5450
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 531819 | HI | Yes |
Addresses
Primary practice location
17-202 Ipuaiwaha St
Keaau, HI 96749-8229
Mailing address
17-202 Ipuaiwaha St.
Keaau, HI 96749
Phone (808) 966-5450
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376K00000X | Other | TAXONOMY CODE | |
| 531819 | Medicaid | HI |
Other names
- Julian's Adult Foster Family Home
Other providers in Keaau, HI
- Ciro Dufrayer
- Laura Dvorak
- Zeny Rodriguez Galo Eakins
- Kelsey Edwards
- Christina Ellis
- Angela K Evans
- Jacob Evans
- Tamara Renay Everhart
- Vickie Marie Fachinelli Portes
- Destine Lilinoelani Olana Fatu
All providers in Keaau, HI · Adult Care Home Facility in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.