Organization
HILO SNF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL HATA (VP)
(808) 791-4496
Entity
Organization
Contact information
Practice address
563 KAUMANA DR, HILO, HI 96720-1812
(808) 498-0100
Mailing address
45-181 WAIKALUA RD, KANEOHE, HI 96744-2765
(808) 247-0003
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
10/03/2022
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