| NPI | 1902805963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ANN MCCRARY CEO President 808-982-3830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: HI RN-31163) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-08-22 |