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Organization
FAMILY SUPPORT SERVICES OF WEST HAWAII
Active
Organization
FAMILY SUPPORT SERVICES OF WEST HAWAII
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY WOFFORD (EXECUTIVE DIRECTOR)
(808) 334-4115
Entity
Organization
Contact information
Practice address
75-127 LUNAPULE RD STE 11, KAILUA KONA, HI 96740-2119
(808) 334-4115
(808) 326-4063
Mailing address
75-127 LUNAPULE RD STE 11, KAILUA KONA, HI 96740-2119
(808) 334-4115
(808) 326-4063
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64642402
—
HI
Enumeration date
07/17/2014
Last updated
07/17/2014
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