Organization
SUSTAIN HAWAII
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN VACCARELLO (FOUNDING DIRECTOR)
(808) 739-5200
Entity
Organization
Contact information
Practice address
41-1029 KALANIANAOLE HWY, WAIMANALO, HI 96795-1641
(808) 721-2174
Mailing address
41-902 KAULUKANU ST, WAIMANALO, HI 96795-1430
Taxonomy
Speciality
Code
Description
License number
State
335G00000X
Medical Foods Supplier
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
09/11/2025
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