Organization
AVALON CARE CENTER - HONOLULU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES KIRTON (CEO/CHAIRMAN)
(801) 596-8844
Entity
Organization
Contact information
Practice address
1930 KAMEHAMEHA IV RD, HONOLULU, HI 96819-2629
(808) 847-4834
(808) 848-8020
Mailing address
206 N 2100 W, SALT LAKE CITY, UT 84116-4740
(801) 596-8844
(801) 596-9001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OCHA#65-N
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54946201
—
HI
Enumeration date
09/06/2005
Last updated
08/17/2022
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