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Organization

FAMILY SUPPORT SERVICES OF WESTHAWAII

Active
Other names
Kona Child Development
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAY PAYL WOFFORD LSW (EXECUTIVE DIRECTOR)
(808) 334-4189
Entity
Organization

Contact information

Practice address
75-127 LUNAPULE RD, SUITE 11, KAILUA KONA, HI 96740-2119
(808) 334-4116
Mailing address
75-127 LUNAPULE RD, SUITE 11, KAILUA KONA, HI 96740-2119

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64642402
HI
Enumeration date
08/14/2012
Last updated
05/29/2015
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