Organization
HALE MAKUA HEALTH SERVICES
Active
Other names
HALE MAKUA - WAILUKU
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY LO (CHIEF EXECUTIVE OFFICER)
(808) 877-2761
Entity
Organization
Contact information
Practice address
1540 LOWER MAIN ST, WAILUKU, HI 96793-1958
(808) 243-1722
(808) 243-1744
Mailing address
472 KAULANA ST, KAHULUI, HI 96732-2050
(808) 877-2761
(808) 871-9262
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
73-N
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081553-01
—
HI
Enumeration date
07/22/2005
Last updated
03/23/2017
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