Organization
ISLAND NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LELAND M YAGI (PRESIDENT/ADMINISTRATOR)
(808) 946-5027
Entity
Organization
Contact information
Practice address
1205 ALEXANDER ST, HONOLULU, HI 96826-1229
(808) 946-5027
(866) 596-0130
Mailing address
1205 ALEXANDER ST, HONOLULU, HI 96826-1229
(808) 946-5027
(866) 596-0130
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2-N
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008403-01
—
HI
01
—
0848-2
HMSA
HI
01
—
12-5005
KAISER
HI
Enumeration date
06/15/2005
Last updated
06/17/2014
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