Organization
ISLA PERMANENTE, LLC
Active
Other names
Guma Hinemlu
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA WISE PHARM.D. (ASSOCIATE MANAGING MEMBER)
(670) 286-6698
Entity
Organization
Contact information
Practice address
856 CHALAN TUN THOMAS P. SABLAN ROAD SAN ANTONIO, SAIPAN, MP 96950
(670) 286-6698
Mailing address
PO BOX 5723, SAIPAN, MP 96950-5556
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
315D00000X
Inpatient Hospice
—
—
Other
Enumeration date
05/17/2024
Last updated
05/19/2024
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