| Bocha, Llc | |
|
1215 S Kihei Rd Ste O735 Kihei HI 96753-5220 | |
| (808) 446-2712 | |
| Not Available |
| Full Name | Bocha, Llc |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 1215 S Kihei Rd Ste O735, Kihei, Hawaii |
| Authorized Official Name and Position | Beau Laughlin (OWNER) |
| Authorized Official Contact | 8084462712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bocha, Llc 1215 S Kihei Rd Ste O735 Kihei HI 96753-5220 Ph: (808) 446-2712 | Bocha, Llc 1215 S Kihei Rd Ste O735 Kihei HI 96753-5220 Ph: (808) 446-2712 |
| NPI Number | 1386005924 |
|---|---|
| Provider Enumeration Date | 03/10/2016 |
| Last Update Date | 01/20/2021 |
| Certification Date | 01/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386005924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BA63 (Hawaii) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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