Healthcare Provider Details

I. General information

NPI: 1750524542
Provider Name (Legal Business Name): FELOMINA M DINONG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2009
Last Update Date: 11/26/2021
Certification Date: 11/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87-1030 AHEKAI ST
WAIANAE HI
96792
US

IV. Provider business mailing address

87-1030 AHEKAI ST
WAIANAE HI
96792
US

V. Phone/Fax

Practice location:
  • Phone: 808-778-2968
  • Fax: 808-888-6478
Mailing address:
  • Phone: 808-778-2968
  • Fax: 808-888-6478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: