Organization
PACIFIC HEALTH PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY BENT NP (OWNER)
(808) 387-8699
Entity
Organization
Contact information
Practice address
51-338 KAMEHAMEHA HWY, KAAAWA, HI 96730-9808
(808) 387-8699
Mailing address
51-338 KAMEHAMEHA HWY, KAAAWA, HI 96730-9808
(808) 387-8699
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
W97808917
HI
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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