Organization
WILSON HEALTHCARE, INC DBA HAWAIIAN HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK F. WILSON (ADMINISTRATOR)
(562) 429-2616
Entity
Organization
Contact information
Practice address
12440 224TH ST, HAWAIIAN GARDENS, CA 90716-1718
(562) 429-2616
Mailing address
1027 CALLE JUCA DR, LA HABRA HEIGHTS, CA 90631-8654
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up