# BLESSED HANDS IV HYDRATION & WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245834779
- **Authorized official:** MRS. LUCKY K ROBINSON AGPC, DNP-C (CEO)
- **Authorized official phone:** (808) 378-2400

## Contact information

- **Practice address:** 3501 RICE ST STE 2022, LIHUE, HI 96766-1757
- **Practice address phone:** (808) 755-5056
- **Mailing address:** 3501 RICE ST STE 2020, LIHUE, HI 96766-1757
- **Mailing address phone:** (808) 378-2400
- **Mailing address fax:** (866) 783-9834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/25/2020
- **Last updated:** 05/07/2025
