Full Life in Kailua Kona - Day Training, Developmentally Disabled Services
Full Life - NPI 1851307375
Full Life is a Day Training, Developmentally Disabled Services in Kailua Kona, Hawaii. Full Life practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Full Life is 1851307375. The last update date is 2021-02-10.
Full Life's current location address is 75-6082 Alii Dr Ste 8, Kailua Kona, Hawaii. You can contact this provider via phone number 8083229333 and fax number 8083229334. The mailing address for Full Life is 75-6082 Alii Dr Ste 8, Kailua Kona, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Full Life |
|---|---|
| Address | 75-6082 Alii Dr Ste 8, Kailua Kona, Hawaii |
| Phone Number | 8083229333 |
| Fax Number | 8083229334 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Kilgore Jim |
| Telephone Number | 8083229333 |
NPI Number Detail
| NPI Number | 1851307375 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2021-02-10 |
Provider Mailing Address Detail
| Address | 75-6082 Alii Dr Ste 8 |
|---|---|
| City | Kailua Kona |
| State | Hawaii (HI) |
| Post Code | 967402306 |
| Phone Number | 8083229333 |
| Fax Number | 8083229334 |
Provider's Primary Taxonomy Detail
| Speciality | Day Training, Developmentally Disabled Services |
|---|---|
| Taxonomy | 251C00000X |
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Definition: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 516990-01 | HI | MEDICAID PROVIDER ID |
Post Comment/ Review Below
What is the Full Life's unique identification number?
The Full Life has been assigned the NPI (National Provider Identifier) Number 1851307375 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Full Life?
The Full Life is situated at 75-6082 Alii Dr Ste 8, in the city of Kailua Kona, state of HI, with the zip code 967402306.
What is the Full Life's specialty and taxonomy code?
The Full Life's specialty is Day Training, Developmentally Disabled Services, and the corresponding taxonomy code is 251C00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1851307375 to Full Life?
The Centers for Medicare & Medicaid Services originally issued the 1851307375 to Full Life on 2006-08-01.
When was the Full Life's information last updated?
The Full Life's information was last updated on 2021-02-10.
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