# HALE OHANA CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hale Ohana Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962281303
- **Authorized official:** MR. RAENIELLE SUNGA (PROVIDER)
- **Authorized official phone:** (253) 256-3088

## Contact information

- **Practice address:** 10713 WESTWOOD DR SW, LAKEWOOD, WA 98499-4827
- **Practice address phone:** (253) 256-3088
- **Practice address fax:** (253) 256-3104
- **Mailing address:** 10713 WESTWOOD DR SW, LAKEWOOD, WA 98499-4827
- **Mailing address phone:** (253) 256-3088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2023
- **Last updated:** 09/25/2023
