Organization
OPPORTUNITES FOR THE RETARDED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD R. RENSHAW (PROGRAM DIRECTOR)
(808) 622-3929
Entity
Organization
Contact information
Practice address
64-1510 KAMEHAMEHA HWY, WAHIAWA, HI 96786-2915
(808) 622-3929
(808) 621-8227
Mailing address
64-1510 KAMEHAMEHA HWY, WAHIAWA, HI 96786-2915
(808) 622-3929
(808) 621-8227
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519283-01
—
HI
Enumeration date
08/06/2008
Last updated
08/06/2008
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