Organization
HALE MAKUA HEALTH SERVICES
Active
Other names
HALE MAKUA - KAHULUI
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY LO (CHIEF EXECUTIVE OFFICER)
(808) 871-9217
Entity
Organization
Contact information
Practice address
472 KAULANA ST, KAHULUI, HI 96732-2050
(808) 877-2761
(808) 871-9262
Mailing address
472 KAULANA ST, KAHULUI, HI 96732-2050
(808) 877-2761
(808) 871-9262
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
23-N
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000043638
HMSA (NON-REHAB) & PART B
HI
01
—
000024018-4
HMSA PHYSICIAN SERVICES
HI
01
—
00J0043636
HMSA (REHAB)
HI
05
—
084347-01
—
HI
Enumeration date
07/21/2005
Last updated
05/07/2019
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