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Organization

EASTER SEALS HAWAII

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA PETTIFORD (CHIEF EXECUTIVE OFFICER)
(808) 536-1015
Entity
Organization

Contact information

Practice address
100 KAHELU AVE STE 230, MILILANI, HI 96789-3962
(808) 536-1015
Mailing address
710 GREEN ST, HONOLULU, HI 96813-2119
(808) 356-9900

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
LSW 2013
HI

Other

Enumeration date
11/09/2012
Last updated
06/16/2025
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