Organization
LIFESPAN CARE HAWAII LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY RAE MIN (CHIEF OPERATING OFFICER)
(808) 762-6743
Entity
Organization
Contact information
Practice address
65-1235A OPELO RD STE 4, KAMUELA, HI 96743-8401
(808) 762-6743
Mailing address
65-1235A OPELO RD STE 4, KAMUELA, HI 96743-8401
(808) 762-6743
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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