Hale Kupuna Heritage Home, LLC
NPI #1992792733 in Koloa, Hawaii
Provider Information
- NPI Number
- 1992792733
- Entity Type
- Organization
- Organization Name
- Hale Kupuna Heritage Home, LLC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Oct 5, 2005
- Last Updated
- Oct 3, 2022
Practice Location
Authorized Official
- Name
- RANDALL HATA
- Title
- CFO
- Phone
- (808) 247-0003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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