Full Life

LBN: Full Life
Full Life is an health care organization with primary practice located at 75-6082 Alii Dr Ste 8 , Kailua Kona HI 96740-2306. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Full Life can be contacted via phone (808) 322-9333, or through Kilgore, Jim via phone (808) 322-9333.

Contact Information

Primary practice address
75-6082 Alii Dr Ste 8 Kailua Kona HI 96740-2306
Phone: (808) 322-9333
Fax: (808) 322-9334
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Jim
Phone: (808) 322-9333

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X N/A

Profile Details

NPI number 1851307375
LBN Legal business name Full Life
DBA Doing business as
Authorized official Kilgore, Jim
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Feb 10th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851307375 NPPES
Hawaii MEDICAID 516990-01 MEDICAID PROVIDER ID

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