OrganizationActive
Makana O Ka Ola Health and Wellness Clinic
NPI 1750832259 · Primary Care Clinic/Center · Wailuku, HI
Provider details
- NPI number
- 1750832259
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Stacey Prusky, Officer
- License
- 119306444801 (HI)
Mailing address
1935 Main St
Wailuku, HI 96793-1784
Registry dates
- Enumerated
- 2016-10-19
- Last updated
- 2016-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.