Provider Demographics
NPI:1518103878
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:MAUI ADULT DAY CARE CENTERS
Other - Org Type:Doing Business As
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
Mailing Address - Street 2:SUITE B
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-3110
Mailing Address - Country:US
Mailing Address - Phone:808-871-5804
Mailing Address - Fax:808-877-4082
Practice Address - Street 1:11 MAHAOLU ST
Practice Address - Street 2:SUITE B
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-3110
Practice Address - Country:US
Practice Address - Phone:808-871-5804
Practice Address - Fax:808-877-4082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-16
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care