Provider Demographics
NPI:1184962094
Name:LOVE, DENISE
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:LOVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2970 KELE ST
Mailing Address - Street 2:STE 102
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1823
Mailing Address - Country:US
Mailing Address - Phone:808-652-3021
Mailing Address - Fax:808-245-5309
Practice Address - Street 1:2970 KELE ST
Practice Address - Street 2:STE 102
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1823
Practice Address - Country:US
Practice Address - Phone:808-652-3021
Practice Address - Fax:808-245-5309
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator