Organization
3G'S DIRECT CARE SERVICES PROVIDER LLC
Active
Other names
3GS DIRECT CARE SERVICES PROVIDER, LLC, 3GS DIRECT CARE SERVICES PROVIDER, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA QUILING RAYMUNDO (CEO AND PRESIDENT)
(808) 294-1402
Entity
Organization
Contact information
Practice address
1188 BISHOP ST STE 3305, HONOLULU, HI 96813-3313
(808) 294-1402
(877) 297-3821
Mailing address
1188 BISHOP ST STE 3305, HONOLULU, HI 96813-3313
(808) 294-1402
(877) 297-3821
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800671
—
ID
Enumeration date
12/17/2020
Last updated
12/17/2020
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