| Organization Name: | ALOHAWELLNESS CENTER INC |
| NPI Number: | 1033436431 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE REQUE (BILLING MANAGER) |
| Mailing Address: | 94-1388 Moaniani St Ste 203 Waipahu |
| State: | HI US |
| Postal Code: | 967976604 |
| Phone Number: | 8086953570 |
| Fax Number: | 8084872492 |
| NPI Enumeration Date: | 04/23/2010 |
| NPI Last Update Date: | 04/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 346-83 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |