| NPI | 1801685359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLENO DAYZEN MAVAEGA Administrator 808-491-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-13 |