Provider Demographics
NPI:1619729738
Name:KAMAULIOLA-THE POWER OF HEALING
Entity Type:Organization
Organization Name:KAMAULIOLA-THE POWER OF HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JODDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MANUWAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-222-0093
Mailing Address - Street 1:122 ONEAWA ST STE 203
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2524
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:122 ONEAWA ST STE 203
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2524
Practice Address - Country:US
Practice Address - Phone:808-222-0093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)