Organization Name: | CRADLE N' CRAYONS, LLC |
NPI Number: | 1205862851 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORELEI R. CROWDER (OWNER, DIRECTOR) |
Mailing Address: | 95-226 Haike Pl Mililani |
State: | HI US |
Postal Code: | 967895506 |
Phone Number: | 8089275092 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2006 |
NPI Last Update Date: | 09/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | W19866930-01 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |