Organization
OHANA HALE ARCH/EXPANDED ARCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY FELICITAS (OWNER)
(808) 677-9718
Entity
Organization
Contact information
Practice address
94-1063 HALELEHUA ST, WAIPAHU, HI 96797-3702
(808) 677-9718
Mailing address
94-1063 HALELEHUA ST, WAIPAHU, HI 96797-3702
(808) 677-9718
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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