# 3G'S DIRECT CARE SERVICES PROVIDER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063024875
- **Authorized official:** GLORIA QUILING RAYMUNDO (OWNER)
- **Authorized official phone:** (808) 294-1402

## Contact information

- **Practice address:** 91-692 MAKALEA ST, EWA BEACH, HI 96706-5944
- **Practice address phone:** (808) 683-3867
- **Mailing address:** 91-692 MAKALEA ST, EWA BEACH, HI 96706-5944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/21/2020
- **Last updated:** 08/21/2020