Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
5476 KOLOA ROAD, 2F
KOLOA, HI 96756 US
PECOS Enrolled

Shanti Kay Manzano

Clinical Social Worker


Shanti Kay Manzano

Overview

Shanti Kay Manzano is a Clinical Social Worker in the KOLOA area. Shanti Kay Manzano primary office location is at 5476 KOLOA ROAD, 2F and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1043549637 and the information was updated approximately 5 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
5476 KOLOA ROAD, 2F
KOLOA, HI 96756 US
Phone: (808)-639-7255
Fax:
Practice Mailing Information
PO BOX 1075
KOLOA, HI 96756 US
Phone: (808)-639-7255
Fax:
License NumberState
23542CA
3860HI

No Identifiers found

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) -
Eligible to order/refer Power Mobility Devices (PMD) -