Organization
LIFE CARE SERVICES OF HAWAII LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL I SORENSON (SENIOR VICE PRESIDENT)
(515) 875-4500
Entity
Organization
Contact information
Practice address
1314 KALAKAUA AVE, SECOND FLOOR, HONOLULU, HI 96826-1908
(808) 983-4444
(808) 983-4499
Mailing address
1314 KALAKAUA AVE, 2ND FLOOR, HONOLULU, HI 96826-1908
(808) 893-4444
(808) 983-4499
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
OHCA-55-N
HI
314000000X
Skilled Nursing Facility
55-N
HI
314000000X
Skilled Nursing Facility
Primary
OHCA#55-N
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A214328
—
HI
Enumeration date
11/01/2005
Last updated
08/28/2019
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