Organization
HALE MAKUA HEALTH SERVICES
Active
Parent organization
HALE MAKUA HEALTH SERVICES
Other names
HALE MAKUA HOME HEALTH AGENCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
HALE MAKUA HEALTH SERVICES
Authorized official
WESLEY LO (CHIEF EXECUTIVE OFFICER)
(808) 877-2761
Entity
Organization
Contact information
Practice address
1520 E MAIN ST, WAILUKU, HI 96793-1958
(808) 244-3661
(808) 244-5470
Mailing address
1520 E MAIN ST, WAILUKU, HI 96793-1958
(808) 244-3661
(808) 244-5470
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA-3
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127003
PROVIDER NUMBER
HI
Enumeration date
05/23/2005
Last updated
03/23/2017
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