Organization
HALE MAHAOLU
Active
Parent organization
HALE MAHAOLU
Other names
Tri-Isle Personal Care, Inc. (Molokai)
Organization subpart
Yes
Provider details
NPI number
Legal business name
HALE MAHAOLU
Authorized official
REUBEN IGNACIO (DIRECTOR)
(808) 873-0521
Entity
Organization
Contact information
Practice address
200 HINA AVE, KAHULUI, HI 96732-1821
(808) 873-0521
(888) 501-6427
Mailing address
200 HINA AVE, KAHULUI, HI 96732-1821
(808) 873-0521
(888) 501-6427
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800714
—
HI
Enumeration date
12/10/2020
Last updated
12/11/2020
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