NPI 1164143012

Ike Pono Case Management LLC

Organisation Case Management Agency Wahiawa, HI

Practice location

Address: 195 Muliwai Ave, Wahiawa, HI 96786-2013
Phone: (808) 397-4638

Authorised official

Name: Kimberly Aulani Fanene
Title: Owner / Director / Case Manager
Phone: (808) 397-4638

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1164143012
Entity type: Organization
NPI issued: 8 Sep 2022
Record last updated: 8 Sep 2022

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.