Organization
HALE HAU'OLI HAWAII
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN WYATT RN (PRESIDENT)
(808) 798-8706
Entity
Organization
Contact information
Practice address
98-1247 KAAHUMANU ST STE 207, AIEA, HI 96701-5392
(808) 798-8706
(808) 691-9027
Mailing address
94-280 KIKIULA LOOP, MILILANI, HI 96789-2136
(808) 292-4665
(808) 691-9027
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1-0615
HI
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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