Organization
INTEGRATED HEALTH RESOURCES, LLC
Active
Other names
Leeward Integrated Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL HATA (CFO)
(808) 247-0003
Entity
Organization
Contact information
Practice address
84-390 JADE ST, WAIANAE, HI 96792-2222
(808) 695-9508
(808) 695-0225
Mailing address
45-181 WAIKALUA RD, KANEOHE, HI 96744-2765
(808) 247-0003
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
54-N
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212316
HMSA
—
05
—
557118-01
—
HI
Enumeration date
10/04/2005
Last updated
10/03/2022
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