Organization
TRADEWINDS AT THE PONDS, LLC
Active
Other names
The Ponds at Punalu'u
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH L ROBERTSON (MANAGER)
(503) 580-6925
Entity
Organization
Contact information
Practice address
53-594 KAMEHAMEHA HWY, HAUULA, HI 96717-9648
(808) 293-1100
Mailing address
53-594 KAMEHAMEHA HWY, HAUULA, HI 96717-9648
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W94691789-01
STATE OF HAWAII
HI
Enumeration date
08/18/2009
Last updated
08/18/2009
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