Provider Demographics
NPI:1821238221
Name:R@A TAUYAN FOSTER HOME
Entity Type:Organization
Organization Name:R@A TAUYAN FOSTER HOME
Other - Org Name:RACCP
Other - Org Type:Other Name
Authorized Official - Title/Position:R.N.
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANALINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:TAUYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-674-0262
Mailing Address - Street 1:91-1071 OANIANI ST
Mailing Address - Street 2:APT.7D
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2619
Mailing Address - Country:US
Mailing Address - Phone:808-674-0262
Mailing Address - Fax:808-674-0262
Practice Address - Street 1:91-1071 OANIANI ST
Practice Address - Street 2:APT.7D
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2619
Practice Address - Country:US
Practice Address - Phone:808-674-0262
Practice Address - Fax:808-674-0262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI253J00000X253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency