| NPI | 1033705603 |
|---|---|
| Doing Business As | 3GS DIRECT CARE SERVICES PROVIDER, LLC |
| Former Legal Business Name | 3GS DIRECT CARE SERVICES PROVIDER, LLC |
| Entity Type | Organization |
| Authorized Contact | GLORIA QUILING RAYMUNDO CEO And President 808-294-1402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2020-12-17 |