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General NPI Number Information
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NPI Number | 1376525584
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Entity Type | Organization
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Legal Business Name | DIVERSIFIED MEDICAL ENTERPRISES INC
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1900 BACHELOT ST
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City | HONOLULU
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State | HI
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Zip | 96817-2431
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Country | US
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Telephone | 808-531-5302
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Fax | 808-538-3219
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Provider Business Mailing Address
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Address Line | 1900 BACHELOT STREET
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City | HONOLULU
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State | HI
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Zip | 96817-2431
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Country | US
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Telephone | 808-531-5302
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Fax | 808-538-3219
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DENNIS GEORGE
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Credential |
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Telephone | 510-919-0618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 16N
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License Number State | HI
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