Provider Demographics
NPI:1528651684
Name:HEALTH SERVICES HAWAII 808, INC.
Entity type:Organization
Organization Name:HEALTH SERVICES HAWAII 808, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WAKIDA
Authorized Official - Suffix:
Authorized Official - Credentials:SW
Authorized Official - Phone:808-389-4729
Mailing Address - Street 1:1296 KAPIOLANI BLVD APT 2202E
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2883
Mailing Address - Country:US
Mailing Address - Phone:808-959-1130
Mailing Address - Fax:808-959-1131
Practice Address - Street 1:4510 SALT LAKE BLVD STE B5OFFICE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-3153
Practice Address - Country:US
Practice Address - Phone:808-959-1130
Practice Address - Fax:808-959-1131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management