Leeward Community & Therapy Supports | |
91-1170 Mikohu St Apt 40c Ewa Beach HI 96706-4317 | |
(505) 429-5731 | |
Not Available |
Full Name | Leeward Community & Therapy Supports |
---|---|
Speciality | Community/behavioral Health |
Location | 91-1170 Mikohu St Apt 40c, Ewa Beach, Hawaii |
Authorized Official Name and Position | Taryn Joy Mai Valdez Ivers (OWNER) |
Authorized Official Contact | 5054295731 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Leeward Community & Therapy Supports 94-245 Leoku St Unit 970334 Waipahu HI 96797-7014 Ph: (808) 466-9111 | Leeward Community & Therapy Supports 91-1170 Mikohu St Apt 40c Ewa Beach HI 96706-4317 Ph: (505) 429-5731 |
NPI Number | 1275289407 |
---|---|
Provider Enumeration Date | 02/25/2022 |
Last Update Date | 01/19/2023 |
Certification Date | 01/19/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275289407 | NPI | - | NPPES |
001525 | Medicaid | HI | |
003149 | Medicaid | HI |
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› Verified 9 days ago
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