Organization
MAKENA'S HOPE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYUKWA SAMMY KASHIWA (PRESIDENT)
(585) 802-2495
Entity
Organization
Contact information
Practice address
111 N CHESTNUT ST, ROCHESTER, NY 14604-1441
(585) 802-2495
Mailing address
111 N CHESTNUT ST, ROCHESTER, NY 14604-1441
(585) 802-2495
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
02/24/2020
Last updated
03/13/2020
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