Organization
HALE PU'UHONUA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT OLIN LPN (OWNER)
(808) 982-5415
Entity
Organization
Contact information
Practice address
15-1735 19TH STREET, KEAAU, HI 96749
(808) 982-5415
Mailing address
HCR 2 BOX 6603, KEAAU, HI 96749
(808) 982-5415
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1408-C
HI
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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