Organization
KONA MEDICAL INVESTORS LLC
Active
Other names
Life Care Center of Kona
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S CROSS (ASSISTANT SECRETARY FOR LCCA, MGR)
(423) 473-5867
Entity
Organization
Contact information
Practice address
78-6957 KAMEHAMEHA III RD, KAILUA KONA, HI 96740-2528
(808) 322-2790
(808) 324-1750
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
60-N
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518269
—
HI
Enumeration date
01/02/2007
Last updated
07/10/2014
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