| NPI | 1760146260 |
|---|---|
| Doing Business As | REGENERATIVE LIVING WINDWARD |
| Entity Type | Organization |
| Authorized Contact | STARLITE JOY SOBREPENA LLC Member 808-372-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2021-10-29 |