Provider Demographics
NPI:1023483989
Name:OHANA HEALING CENTER, LLC
Entity type:Organization
Organization Name:OHANA HEALING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPLE MASSAGE THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEE KYONG
Authorized Official - Middle Name:
Authorized Official - Last Name:TONG
Authorized Official - Suffix:
Authorized Official - Credentials:MASSAGE THERAPIST
Authorized Official - Phone:808-944-0088
Mailing Address - Street 1:1481 S KING ST
Mailing Address - Street 2:SUITE 321
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2601
Mailing Address - Country:US
Mailing Address - Phone:808-944-0088
Mailing Address - Fax:808-482-2057
Practice Address - Street 1:1481 S KING ST
Practice Address - Street 2:SUITE 321
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2601
Practice Address - Country:US
Practice Address - Phone:808-944-0088
Practice Address - Fax:808-482-2057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT 14495174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty