Organization
OHANA SUPPORTIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEHAU MARTINEZ (DIRECTOR)
(970) 985-2197
Entity
Organization
Contact information
Practice address
104 ORCHARD AVE STE B4, GRAND JUNCTION, CO 81501-2147
(970) 985-2197
Mailing address
104 ORCHARD AVE STE B4, GRAND JUNCTION, CO 81501-2147
(970) 985-2197
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/23/2022
Last updated
10/16/2023
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