Provider Demographics
NPI:1699919548
Name:REMVAZA LLC
Entity type:Organization
Organization Name:REMVAZA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER/CSAC
Authorized Official - Prefix:
Authorized Official - First Name:REMEDIOS
Authorized Official - Middle Name:H
Authorized Official - Last Name:MEINTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-651-2247
Mailing Address - Street 1:PO BOX 650
Mailing Address - Street 2:
Mailing Address - City:KALAHEO
Mailing Address - State:HI
Mailing Address - Zip Code:96741-0650
Mailing Address - Country:US
Mailing Address - Phone:808-651-2247
Mailing Address - Fax:
Practice Address - Street 1:2970 HALEKO RD STE 202
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1380
Practice Address - Country:US
Practice Address - Phone:808-651-2247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-22
Last Update Date:2009-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty