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General NPI Number Information
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NPI Number | 1659379980
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Entity Type | Organization
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Legal Business Name | HOSPICE OF KONA INC
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 74-5094 PALANI RD
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City | KAILUA KONA
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State | HI
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Zip | 96740-9654
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Country | US
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Telephone | 808-334-0334
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Fax | 808-334-0365
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Provider Business Mailing Address
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Address Line | PO BOX 217
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City | KAILUA KONA
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State | HI
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Zip | 96745-0217
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Country | US
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Telephone | 808-334-0334
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Fax | 808-334-0365
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. VICTORIA CALVIN
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Credential |
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Telephone | 808-334-0334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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