| Blessed Hands Iv Hydration & Wellness Llc | |
|
3501 Rice St Ste 2022 Lihue HI 96766-1757 | |
| (808) 755-5056 | |
| Not Available |
| Full Name | Blessed Hands Iv Hydration & Wellness Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3501 Rice St Ste 2022, Lihue, Hawaii |
| Authorized Official Name and Position | Lucky K Robinson (CEO) |
| Authorized Official Contact | 4802031843 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blessed Hands Iv Hydration & Wellness Llc 4-831 Kuhio Hwy Ste 438-330 Kapaa HI 96746-1578 Ph: () - | Blessed Hands Iv Hydration & Wellness Llc 3501 Rice St Ste 2022 Lihue HI 96766-1757 Ph: (808) 755-5056 |
| NPI Number | 1245834779 |
|---|---|
| Provider Enumeration Date | 11/25/2020 |
| Last Update Date | 01/29/2021 |
| Medicare PECOS PAC ID | 2860806064 |
|---|---|
| Medicare Enrollment ID | O20210129001227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245834779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Primary |
| Provider Name | Lucky K Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043873698 PECOS PAC ID: 0941637425 Enrollment ID: I20210129001328 |
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