Isla Permanente, LLC

NPI #1205685443

Provider Information

NPI Number: 1205685443
Entity Type: Organization
Organization Name: Isla Permanente, LLC
Primary Specialty: Home Health
Enumeration Date: May 17, 2024
Last Updated: May 19, 2024

Practice Location

Address: 856 CHALAN TUN THOMAS P. SABLAN ROAD SAN ANTONIO
City: Saipan
State: MP
ZIP Code: 96950
Phone: (670) 286-6698

Authorized Official

Name: DR. JOSHUA WISE, PHARM.D.
Title: ASSOCIATE MANAGING MEMBER
Phone: (670) 286-6698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospice Care, Community Based	251G00000X
Hospice, Inpatient	315D00000X
Home Health	251E00000X	Primary

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