National Provider Identifier Database

FAMILY SUPPORT SERVICES OF WEST HAWAII
Rehabilitation


Contact Information

FAMILY SUPPORT SERVICES OF WEST HAWAII
75-127 LUNAPULE RD STE 11
KAILUA-KONA, HI96740-2119
Phone: 808-334-4115
Fax: 808-326-4063
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for FAMILY SUPPORT SERVICES OF WEST HAWAII

NPI Number 1649687120
Legal business name
LBN
FAMILY SUPPORT SERVICES OF WEST HAWAII
Authorized official RAY WOFFORD - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/17/2014
Last updated 07/17/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • HI Medicaid: 64642402

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for FAMILY SUPPORT SERVICES OF WEST HAWAII

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