Provider Demographics
NPI:1598340739
Name:RAMEL, LILIBETH YADAO
Entity Type:Individual
Prefix:
First Name:LILIBETH
Middle Name:YADAO
Last Name:RAMEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-1157 HALELEHUA ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3705
Mailing Address - Country:US
Mailing Address - Phone:808-343-8423
Mailing Address - Fax:808-841-5573
Practice Address - Street 1:94-1157 HALELEHUA ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3705
Practice Address - Country:US
Practice Address - Phone:808-343-8423
Practice Address - Fax:808-841-5573
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-09
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIHI000010320E311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home