Organization
ACE 1 LLC
Active
Other names
A CARE OF EXCELLENCE
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE JUNE PASCUA CULLINAN (MEMBER- MANAGER)
(808) 731-5520
Entity
Organization
Contact information
Practice address
77-6480 SEA VIEW CIR, KAILUA KONA, HI 96740-8945
(808) 339-0964
(808) 731-5521
Mailing address
101 AUPUNI ST STE 225, HILO, HI 96720-4261
(808) 731-5520
(808) 731-5521
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000022
—
HI
Enumeration date
09/25/2021
Last updated
09/25/2021
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