| Supportive Care Of Hawaii Llc | |
|
1314 Piikoi St Apt 203 Honolulu HI 96814-1140 | |
| (718) 506-1115 | |
| Not Available |
| Full Name | Supportive Care Of Hawaii Llc |
|---|---|
| Speciality | Counselor |
| Location | 1314 Piikoi St Apt 203, Honolulu, Hawaii |
| Authorized Official Name and Position | Raphael Lichtschein (PRESIDENT) |
| Authorized Official Contact | 7182984375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Care Of Hawaii Llc 27 Randolph Rd Howell NJ 07731-8611 Ph: () - | Supportive Care Of Hawaii Llc 1314 Piikoi St Apt 203 Honolulu HI 96814-1140 Ph: (718) 506-1115 |
| NPI Number | 1376384685 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Medicare PECOS PAC ID | 5294271136 |
|---|---|
| Medicare Enrollment ID | O20240726002349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376384685 | NPI | - | NPPES |
| Provider Name | Flordeliza M A Herring |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114547221 PECOS PAC ID: 2961881974 Enrollment ID: I20240731004895 |
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