Key, Chanelle Lynn Puallilia

Key, Chanelle Lynn Puallilia is an sole proprietor health care provider with primary practice located at 2221 Anianiku St , Honolulu HI 96813-1406. She recently has 6 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / Nursing Care, Agencies / Community/Behavioral Health, Agencies / Foster Care Agency, Agencies / In Home Supportive Care. Agencies / Home Health is her primary health care specialty. Key, Chanelle Lynn Puallilia can be contacted via phone (808) 450-8897.

Contact Information

Primary practice address
2221 Anianiku St Honolulu HI 96813-1406
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 47-3166133 Hawaii
Agencies / Home Health 251E00000X 47-3166133 Hawaii
Agencies / Nursing Care 251J00000X 47-3166133 Hawaii
Agencies / Community/Behavioral Health 251S00000X 47-3166133 Hawaii
Agencies / Foster Care Agency 253J00000X 47-3166133 Hawaii
Agencies / In Home Supportive Care 253Z00000X 47-3166133 Hawaii

Profile Details

NPI number 1215321112
LBN Legal business name Key, Chanelle Lynn Puallilia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2015
Last updated Mar 27th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215321112 NPPES
Hawaii MEDICAID 47-3166133

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