# KAUAI COMMUNITY HEALTH ALLIANCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Shore Wellness Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417413576
- **Authorized official:** LA REINA NEBRE (PRACTICE MANAGER)
- **Authorized official phone:** (808) 828-2885

## Contact information

- **Practice address:** 2430 OKA ST STE B, KILAUEA, HI 96754-5332
- **Practice address phone:** (808) 828-0030
- **Practice address fax:** (808) 977-7769
- **Mailing address:** 2460 OKA ST STE 101A, KILAUEA, HI 96754-5308
- **Mailing address phone:** (808) 977-7767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2019
- **Last updated:** 02/13/2019