| NPI | 1053745299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BERTHIAUME Owner/Manager 808-561-8185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: HI W59039495-01) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |