1851307375 FULL LIFE
Developmentally Disabled Services Day Training Agency
Reactivated
Basic Information
- Organization Name
- FULL LIFE
- Enumeration Date
- August 1, 2006
- Last Update
- February 10, 2021
- Deactivation Date
- June 19, 2007
- Reactivation Date
- January 12, 2012
- Authorized Official
- JIM KILGORE
EXECUTIVE DIRECTOR
Phone: (808) 322-9333
Practice Location
- Address
- 75-6082 ALII DR STE 8
KAILUA KONA, HI 967402306 - Phone
- (808) 322-9333
- Fax
- (808) 322-9334
Mailing Address
- Address
- 75-6082 ALII DR STE 8
KAILUA KONA, HI 967402306 - Phone
- (808) 322-9333
- Fax
- (808) 322-9334
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Day Training, Developmentally Disabled Services | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 516990-01 | 05 | HI | MEDICAID PROVIDER ID |
Frequently Asked Questions
What is FULL LIFE's NPI number?
FULL LIFE's NPI number is 1851307375.
Which doctor has NPI number 1851307375?
The doctor with NPI number 1851307375 is FULL LIFE.
What is FULL LIFE's practice address?
FULL LIFE's practice address is 75-6082 ALII DR STE 8, KAILUA KONA, HI, 967402306.
Which doctor practices at 75-6082 ALII DR STE 8, KAILUA KONA, HI, 967402306?
FULL LIFE practices at 75-6082 ALII DR STE 8, KAILUA KONA, HI, 967402306.
What is FULL LIFE's phone number?
FULL LIFE's phone number is (808) 322-9333.
Who is (808) 322-9333?
(808) 322-9333 is the phone number for FULL LIFE.
What is FULL LIFE's specialty?
FULL LIFE's specialty is Developmentally Disabled Services Day Training Agency.
What type of doctor is FULL LIFE?
FULL LIFE is a Developmentally Disabled Services Day Training Agency.
Is FULL LIFE a Day Training, Developmentally Disabled Services?
Yes, FULL LIFE is a Day Training, Developmentally Disabled Services.
Is FULL LIFE still practicing?
Yes, FULL LIFE has reactivated their practice and is currently practicing.
Is FULL LIFE accepting new patients?
FULL LIFE may be accepting new patients. Please call their office at (808) 322-9333 to inquire about availability.
Is NPI 1851307375 still active?
Yes, NPI 1851307375 has been reactivated and is currently active.
Where does FULL LIFE practice?
FULL LIFE practices in KAILUA KONA, HI.