| NPI | 1649337379 |
|---|---|
| Doing Business As | LIFE CARE CENTER OF KONA |
| Entity Type | Organization |
| Authorized Contact | CINDY S CROSS Assistant Secretary For Lcca, Mgr 423-473-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: HI 60-N) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2014-07-10 |