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Organization
KAUAI COMMUNITY HEALTH ALLIANCE
Active
Organization
KAUAI COMMUNITY HEALTH ALLIANCE
Active
Other names
North Shore Wellness Center
Organization subpart
Yes
Provider details
NPI number
Authorized official
LA REINA NEBRE (PRACTICE MANAGER)
(808) 828-2885
Entity
Organization
Contact information
Practice address
2430 OKA ST STE B, KILAUEA, HI 96754-5332
(808) 828-0030
(808) 977-7769
Mailing address
2460 OKA ST STE 101A, KILAUEA, HI 96754-5308
(808) 977-7767
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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