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 | Issue Date FY: 2022 ( Subtotal = $95,778 ) |
| | 2022 | 2022 | Human Services, Hawaii Department of | 1390 MILLER ST, RM 209 | HONOLULU | HI | 96813 | HONOLULU | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 5 | 1 | 2/10/2022 | NEW | $111,188 |
| | 2022 | 2021 | Human Services, Hawaii Department of | 1390 MILLER ST, RM 209 | HONOLULU | HI | 96813 | HONOLULU | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 6 | 1 | 8/24/2022 | NEW | -$5,865 |
| | 2022 | 2021 | Human Services, Hawaii Department of | 1390 MILLER ST, RM 209 | HONOLULU | HI | 96813 | HONOLULU | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 4 | 1 | 12/1/2021 | NEW | -$9,545 |
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| Issue Date FY: 2021 ( Subtotal = $851,684 ) |
| | 2021 | 2021 | Human Services, Hawaii Department of | 1390 MILLER ST, RM 209 | HONOLULU | HI | 96813 | HONOLULU | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 3 | 1 | 8/23/2021 | NEW | $217,138 |
| | 2021 | 2021 | Human Services, Hawaii Department of | 1390 MILLER ST, RM 209 | HONOLULU | HI | 96813 | HONOLULU | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 1 | 1 | 1/31/2021 | NEW | $210,000 |
| | 2021 | 2021 | Human Services, Hawaii Department of | 1390 MILLER ST, RM 209 | HONOLULU | HI | 96813 | HONOLULU | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 0 | 1 | 10/20/2020 | NEW | $210,000 |
| | 2021 | 2021 | Human Services, Hawaii Department of | 1390 MILLER ST, RM 209 | HONOLULU | HI | 96813 | HONOLULU | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 2 | 1 | 7/2/2021 | NEW | $214,546 |
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