Organization
ARC OF MAUI COUNTY
Active
Parent organization
ARC OF MAUI COUNTY - KANALOA RESIDENCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARC OF MAUI COUNTY - KANALOA RESIDENCE
Authorized official
NANCY SEGUNDO (CFO)
(808) 242-5781
Entity
Organization
Contact information
Practice address
450 B KANALOA AVENUE, KAHULUI, HI 96732
(808) 242-5781
(808) 244-4061
Mailing address
450 B KANALOA AVENUE, KAHULUI, HI 96732
(808) 242-5781
(808) 244-4061
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
IMR-38
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082499-3
—
HI
Enumeration date
03/24/2016
Last updated
03/24/2016
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