Body Mind & Soul Spa
Health Maintenance Organization in Honolulu, HI. Organization (NPI-2).
NPI number1386192433
StatusActive
Last updated in NPPESSep 19, 2016
Details
- NPI
- 1386192433
- Entity type
- Organization (NPI-2)
- Legal business name
- Body Mind & Soul Spa
- Organization subpart
- No
- Enumeration date
- Sep 19, 2016
- Last updated
- Sep 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | 14643 | HI | Yes |
| 302R00000X | Health Maintenance Organization | 5452 | HI | |
| 302R00000X | Health Maintenance Organization | 13794 | HI | |
| 302R00000X | Health Maintenance Organization | 13716 | HI |
Practice location
31 S Beretania StHonolulu, HI 96813-2220
Phone 808-524-8588 · Fax 808-564-0020
Mailing address
31 S Beretania StHonolulu, HI 96813-2220
Phone 808-524-8588 · Fax 808-564-0020
Authorized official
Theresa Bui
President
8085248588
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