Organization
MAUNALANI NURSING AND REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAICHAY CHANTAVY (EXECUTIVE DIRECTOR SECRETARY)
(808) 732-0771
Entity
Organization
Contact information
Practice address
5113 MAUNALANI CIR, HONOLULU, HI 96816-4019
(808) 732-0771
(808) 735-5980
Mailing address
5113 MAUNALANI CIR, HONOLULU, HI 96816-4019
(808) 732-0771
(808) 735-5980
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
5N
HI
314000000X
Skilled Nursing Facility
Primary
5N
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00134101
—
HI
01
—
0604220001
CIGNA
HI
01
—
A00156
HMSA
HI
01
—
HMSA65C+
ENTERAL DMERC
—
Enumeration date
12/13/2005
Last updated
02/22/2016
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