Provider Demographics
NPI:1154184596
Name:MAUI DAY CARE CENTER FOR SENIOR CITIZENS AND DISABLED, INC.
Entity type:Organization
Organization Name:MAUI DAY CARE CENTER FOR SENIOR CITIZENS AND DISABLED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELA CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-871-5804
Mailing Address - Street 1:11 MAHAOLU ST STE B
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-3152
Mailing Address - Country:US
Mailing Address - Phone:808-871-5804
Mailing Address - Fax:
Practice Address - Street 1:665 KAHULUI BEACH ROAD
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-9679
Practice Address - Country:US
Practice Address - Phone:808-243-9312
Practice Address - Fax:808-243-9320
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAUI DAY CARE CENTER FOR SENIOR CITIZENS AND DISABLED, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care