Organization
KAUAI COMMUNITY HEALTH ALLIANCE
Active
Other names
North Shore Wellness Center
Organization subpart
Yes
Provider details
NPI number
Authorized official
LA REINA NEBRE (PRACTICE MANAGER)
(808) 828-2885
Entity
Organization
Contact information
Practice address
2430 OKA ST STE B, KILAUEA, HI 96754-5332
(808) 828-0030
(808) 977-7769
Mailing address
2460 OKA ST STE 101A, KILAUEA, HI 96754-5308
(808) 977-7767
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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