Organization
3G'S DIRECT CARE SERVICES PROVIDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA QUILING RAYMUNDO (OWNER)
(808) 294-1402
Entity
Organization
Contact information
Practice address
91-692 MAKALEA ST, EWA BEACH, HI 96706-5944
(808) 683-3867
Mailing address
91-692 MAKALEA ST, EWA BEACH, HI 96706-5944
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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