| NPI | 1790780492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA G BAAS General Manager 808-486-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: HI 10454777) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2020-08-22 |