Organization
OHANA HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNAH WOOLWAY MA CCC SLP (ADMINISTRATOR MEMBER)
(808) 332-5005
Entity
Organization
Contact information
Practice address
3691 KOLOA RD., LAWAI, HI 96765-0414
(808) 332-5005
(808) 332-5006
Mailing address
P O BOX 414, LAWAI, HI 96765-0414
(808) 332-5005
(808) 332-5006
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
W09601949-01
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74058100
—
HI
Enumeration date
03/07/2011
Last updated
10/21/2019
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