Organization
FAMILY SUPPORT HAWAII
Active
Other names
Kau Child Development Program
Organization subpart
No
Provider details
NPI number
Authorized official
RAY WOFFORD (ASSOCIATE DIRECTOR)
(808) 334-4116
Entity
Organization
Contact information
Practice address
75-127 LUNAPULE RD, SUITE 11, KAILUA KONA, HI 96740-2119
(808) 334-4114
Mailing address
75-127 LUNAPULE RD, SUITE 11, KAILUA KONA, HI 96740-2119
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64642402
—
HI
Enumeration date
08/14/2012
Last updated
08/14/2012
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