Organization
HALE MAHAOLU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT CHUN (EXECUTIVE DIRECTOR)
(808) 872-4100
Entity
Organization
Contact information
Practice address
200 HINA AVE, KAHULUI, HI 96732-1821
(808) 872-4100
Mailing address
200 HINA AVE, KAHULUI, HI 96732-1821
(808) 872-4100
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505373
—
HI
Enumeration date
10/10/2006
Last updated
12/11/2020
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