Wilson Healthcare, INC DBA Hawaiian House
NPI #1871655191 in Hawaiian Gardens, California
Provider Information
- NPI Number
- 1871655191
- Entity Type
- Organization
- Organization Name
- Wilson Healthcare, INC DBA Hawaiian House
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Dec 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 12440 224TH ST
- City
- Hawaiian Gardens
- State
- California
- ZIP Code
- 90716-1718
- Phone
- (562) 429-2616
Authorized Official
- Name
- MARK F. WILSON
- Title
- ADMINISTRATOR
- Phone
- (562) 429-2616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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