Organization
PSH OAHU LLC
Active
Parent organization
PACIFIC SKILLED HEALTHCARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACIFIC SKILLED HEALTHCARE LLC
Authorized official
SPENCER OLSEN (OWNER)
(949) 521-0707
Entity
Organization
Contact information
Practice address
1808 S BERETANIA ST, HONOLULU, HI 96826-1305
(808) 687-3300
(808) 973-1910
Mailing address
919 LEHUA AVE, PEARL CITY, HI 96782-3328
(808) 687-3224
(808) 687-3209
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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