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Organization

NORTH HAWAII HOSPICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TANYA ELISE DEAN (EXECUTIVE DIRECTOR)
(808) 885-7547
Entity
Organization

Contact information

Practice address
65-1328 KAWAIHAE RD, KAMUELA, HI 96743-8448
(808) 885-7547
(808) 885-5592
Mailing address
65-1328 KAWAIHAE RD, KAMUELA, HI 96743-8448
(808) 885-7547
(808) 885-5592

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005835
HMSA QUEST
HI
01
053382
MEDICAID
HI
01
0583-5
HMSA
HI
Enumeration date
09/22/2005
Last updated
04/20/2008
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