Organization
FAMILY SUPPORT SERVICES OF WEST HAWAII
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY WOFFORD (EXECUTIVE DIRECTOR)
(808) 334-4115
Entity
Organization
Contact information
Practice address
75-127 LUNAPULE RD STE 11, KAILUA KONA, HI 96740-2119
(808) 334-4115
(808) 326-4063
Mailing address
75-127 LUNAPULE RD STE 11, KAILUA KONA, HI 96740-2119
(808) 334-4115
(808) 326-4063
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64642402
—
HI
Enumeration date
07/17/2014
Last updated
07/17/2014
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