Provider First Line Business Practice Location Address:
HI DPS-HAWAII COMMUNITY CORRECTIONAL CENTER
Provider Second Line Business Practice Location Address:
60 PNAHELE STREET
Provider Business Practice Location Address City Name:
HILO
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-933-0488
Provider Business Practice Location Address Fax Number:
808-933-3117
Provider Enumeration Date:
03/12/2019