Organization
IKE PONO CASE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY AULANI FANENE (DIRECTOR / CASE MANAGER)
(808) 397-4638
Entity
Organization
Contact information
Practice address
195 MULIWAI AVE, WAHIAWA, HI 96786-2013
(808) 397-4638
Mailing address
195 MULIWAI AVE, WAHIAWA, HI 96786-2013
(808) 397-4638
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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