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Contact Information

MANA RECOVERY LLC
1063 LOWER MAIN ST STE C211A213
WAILUKU, HI96793-2038
 Phone: 808-867-9268
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for MANA RECOVERY LLC

NPI # 1588394472
LBN Legal business name MANA RECOVERY LLC
Authorized official OWEN CAMPBELL - (CEO/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2022
Last updated 06/13/2023 - About 3 years ago
Identifiers
HI Medicaid 8042992
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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