NPI 1104641489
Kids Individual Development Services Hi LLC
Practice location
- Address
- 1001 Bishop St STE 2685a, Honolulu, HI 96813-3404
- Phone
- (623) 321-2811
- Fax
- (541) 275-0228
- Mailing address
- 922 NW Circle Blvd STE 160-112, Corvallis, OR 97330-1483
Authorised official
- Name
- Erika Dreher
- Title
- Controller
- Phone
- (541) 253-2115
Registered specialties (2)
Developmentally Disabled Services Day Training Agency
Primary
In Home Supportive Care Agency
Registry record
- NPI
- 1104641489
- Entity type
- Organization
- NPI issued
- 20 Nov 2024
- Record last updated
- 20 Nov 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.