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General NPI Number Information
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NPI Number | 1992030852
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Entity Type | Organization
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Legal Business Name | HAWAIIAN ACTION REHAB, INC
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Dates
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Enumeration Date | 10/11/2009
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Last Update Date | 10/11/2009
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Provider Practice Location Address
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Address Line | 1149 BETHEL ST #509
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City | HONOLULU
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State | HI
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Zip | 96813-2236
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Country | US
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Telephone | 808-953-2121
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Fax | 808-524-6618
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Provider Business Mailing Address
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Address Line | 1149 BETHEL ST #509
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City | HONOLULU
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State | HI
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Zip | 96813-2236
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Country | US
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Telephone | 808-953-2121
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Fax | 808-524-6618
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Authorized Official
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Title or Position | OWNER
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Name | MISS TOMIKO O RICH
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Credential |
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Telephone | 808-953-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 479
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License Number State | HI
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