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Organization
NORTH SHORE HEALTH AND WELLNESS, LLC
Active
Organization
NORTH SHORE HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MICHELE CERUTTI NP (APRN/OWNER)
(808) 228-9733
Entity
Organization
Contact information
Practice address
67059 KAIOE PLACE, WAIALUA, HI 96791-9679
(808) 228-9733
(808) 427-5144
Mailing address
PO BOX 1163, WAIALUA, HI 96791-1163
(907) 301-3196
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
GE-030-154-8544-01
HI
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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