Organization
ALPHA CARE HAWAII LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE K WAGAN (ADMINISTRATOR)
(808) 961-1929
Entity
Organization
Contact information
Practice address
1289 KILAUEA AVE STE E, HILO, HI 96720-4251
(808) 961-1929
(808) 961-1928
Mailing address
PO BOX 813, HILO, HI 96721-0813
(808) 961-1929
(808) 961-1928
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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