Hale Kipa, Inc. | |
91-2128 Old Ft Weaver Rd Ewa Beach HI 96706-1911 | |
(808) 589-1829 | |
(808) 589-2610 |
Full Name | Hale Kipa, Inc. |
---|---|
Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
Location | 91-2128 Old Ft Weaver Rd, Ewa Beach, Hawaii |
Authorized Official Name and Position | Venus Venus Rosete-medeiros (CEO) |
Authorized Official Contact | 8085891829 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hale Kipa, Inc. 91-2128 Old Ft Weaver Rd Ewa Beach HI 96706-1911 Ph: (808) 589-1829 | Hale Kipa, Inc. 91-2128 Old Ft Weaver Rd Ewa Beach HI 96706-1911 Ph: (808) 589-1829 |
NPI Number | 1164627246 |
---|---|
Provider Enumeration Date | 06/18/2007 |
Last Update Date | 05/11/2023 |
Certification Date | 05/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164627246 | NPI | - | NPPES |
W2005550002 | Other | HI | HAWAII TAX ID |
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