Provider Demographics
NPI:1164299640
Name:ALOHA HOUSE, INC.
Entity Type:Organization
Organization Name:ALOHA HOUSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:DIKKI-LEE
Authorized Official - Middle Name:H
Authorized Official - Last Name:PRUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-249-2121
Mailing Address - Street 1:PO BOX 791749
Mailing Address - Street 2:
Mailing Address - City:PAIA
Mailing Address - State:HI
Mailing Address - Zip Code:96779-1749
Mailing Address - Country:US
Mailing Address - Phone:808-579-8414
Mailing Address - Fax:
Practice Address - Street 1:270 HOOKAHI ST STE 207
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1466
Practice Address - Country:US
Practice Address - Phone:808-242-1660
Practice Address - Fax:808-242-6650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty