| Ku Aloha Ola Mau | |
|
900 Leilani St Hilo HI 96720 | |
| (808) 961-6822 | |
| Not Available |
| Full Name | Ku Aloha Ola Mau |
|---|---|
| Speciality | Counselor |
| Location | 900 Leilani St, Hilo, Hawaii |
| Authorized Official Name and Position | Lisa Cook (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8085380704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ku Aloha Ola Mau 1130 N Nimitz Hwy C302 Honolulu HI 96817 Ph: (808) 538-0704 | Ku Aloha Ola Mau 900 Leilani St Hilo HI 96720 Ph: (808) 961-6822 |
| NPI Number | 1003983172 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003983172 | NPI | - | NPPES |
| 509218-02 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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