Organization
ARC OF MAUI COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY SEGUNDO IV ACCOUNTANT (FISCAL CONTROLLER)
(808) 242-5781
Entity
Organization
Contact information
Practice address
179 HALE KAI ST, KIHEI, HI 96753-7002
(808) 242-5781
(808) 244-4061
Mailing address
95 MAHALANI ST, SUITE 17, WAILUKU, HI 96793-2521
(808) 242-5781
(808) 244-4061
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
IMR-36
HI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
IMR-37
HI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
IMR-38
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082499
—
HI
05
—
085282
—
HI
05
—
519275
—
HI
Enumeration date
07/27/2007
Last updated
03/09/2016
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