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NPI Code Detail

MEDICARE: HALE OPIO KAUAI, INC.

MEDICARE: HALE OPIO KAUAI, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1322D00000XEmotionally Disturbed Childrens' Residential Treatment FacilityHI

General Provider Information

NPI Number : 1417152828
Entity Type Code : Organization
Provider Name (Legal Business Name) : HALE OPIO KAUAI, INC.
Provider Business Mailing Address
First Line : 2959 UMI ST
Second Line :
City : LIHUE
State : HI
Zip : 96766-1806
Country : US
Telephone Number : 808-245-2873
Fax Number : 808-245-6957
Provider Business Practice Location Address
First Line : 2959 UMI ST
Second Line :
City : LIHUE
State : HI
Zip : 96766-1806
Country : US
Telephone Number : 808-245-2873
Fax Number : 808-245-6957
Authorized Official
Title or Position : ADMINISTRATIVE COORDINATOR
Name : ANELA PATTERSON
Credential :
Telephone Number : 808-245-2873
Provider Enumeration Date : 06/15/2007
Last Update Date : 07/21/2022

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1992059935 — ANGELA HUGHES
Practice Location Address:
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1225379761 — MR. PHILIP MORGAN MA
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2959 UMI ST STE 300
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Directions to “HALE OPIO KAUAI, INC. ” Practice Location

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