Organization
ALOHAWELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE REQUE (BILLING MANAGER)
(808) 531-7878
Entity
Organization
Contact information
Practice address
94-1388 MOANIANI ST STE 203, WAIPAHU, HI 96797-6604
(808) 695-3570
(808) 487-2492
Mailing address
94-1388 MOANIANI ST STE 203, WAIPAHU, HI 96797-6604
(808) 695-3570
(808) 487-2492
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
346-83
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W20588240-01
HAWAII TAX ID
HI
01
—
W20588240-02
HAWAII TAX ID
HI
Enumeration date
04/23/2010
Last updated
04/23/2010
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