Organization
KIDS INDIVIDUAL DEVELOPMENT SERVICES HI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA DREHER (CONTROLLER)
(541) 253-2115
Entity
Organization
Contact information
Practice address
1001 BISHOP ST STE 2685A, HONOLULU, HI 96813-3404
(623) 321-2811
(541) 275-0228
Mailing address
922 NW CIRCLE BLVD STE 160-112, CORVALLIS, OR 97330-1483
(541) 253-2115
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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