# FAMILY SUPPORT SERVICES OF WEST HAWAII

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

## Provider details

- **NPI number:** 1649687120
- **Authorized official:** RAY WOFFORD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (808) 334-4115

## Contact information

- **Practice address:** 75-127 LUNAPULE RD STE 11, KAILUA KONA, HI 96740-2119
- **Practice address phone:** (808) 334-4115
- **Practice address fax:** (808) 326-4063
- **Mailing address:** 75-127 LUNAPULE RD STE 11, KAILUA KONA, HI 96740-2119
- **Mailing address phone:** (808) 334-4115
- **Mailing address fax:** (808) 326-4063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/17/2014
- **Last updated:** 07/17/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 64642402 | — | HI |