| NPI | 1063820009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANE Executive Director 808-947-6920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: HI 40404586 - 01) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2024-10-01 |