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TRADEWINDS AT THE PONDS, LLC

Custodial Care Facility

Hauula, Hawaii

Provider NPI: 1497987879

Organization Information:
Organization Name:  TRADEWINDS AT THE PONDS, LLC


Practice Location:
53-594 KAMEHAMEHA HWY  HAUULA, HI 96717 US
Tel: 808-293-1100  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility

Other Provider Identifiers:

IssuerNumberStateType
STATE OF HAWAIIW94691789-01HI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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