Organization
HIILANI HEALTH CORPORATION
Active
Other names
Life Connections, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY RAYMUNDO (CEO/SECRETARY)
(808) 800-7326
Entity
Organization
Contact information
Practice address
108 OLOKANI PL, 2ND FL, WAHIAWA, HI 96786-4812
(808) 621-2670
(808) 621-0639
Mailing address
PO BOX 860327, WAHIAWA, HI 96786-0327
(808) 800-7326
(808) 621-0639
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
HI
251S00000X
Community/Behavioral Health Agency
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
639007
—
HI
Enumeration date
12/06/2009
Last updated
03/24/2021
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