Provider Demographics
NPI:1194011635
Name:WAI OLA O HINA
Entity Type:Organization
Organization Name:WAI OLA O HINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JODIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DIENER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-553-4411
Mailing Address - Street 1:PO BOX 1539
Mailing Address - Street 2:SUITE #400
Mailing Address - City:KAUNAKAKAI
Mailing Address - State:HI
Mailing Address - Zip Code:96748
Mailing Address - Country:US
Mailing Address - Phone:808-553-4411
Mailing Address - Fax:866-242-5028
Practice Address - Street 1:KAMOI STREET 2
Practice Address - Street 2:SUITE 400
Practice Address - City:KAUNAKAKAI
Practice Address - State:HI
Practice Address - Zip Code:96748-1539
Practice Address - Country:US
Practice Address - Phone:808-553-4411
Practice Address - Fax:866-242-5028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services