Organization
OFFICE FOR SOCIAL MINISTRY
Active
Other names
Mobile Care Health Project
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN KAYE LUNDBURG (PROGRAM DIRECTOR)
(808) 935-3050
Entity
Organization
Contact information
Practice address
140 HOLOMUA ST, HILO, HI 96720-5132
(808) 935-3050
(808) 969-4874
Mailing address
140 HOLOMUA ST, HILO, HI 96720-5132
(808) 935-3050
(808) 969-4874
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
08661301
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08661301
—
HI
Enumeration date
05/26/2006
Last updated
08/22/2020
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