Organization
CARERESOURCE HAWAII
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAD WAKASUGI (CONTROLLER)
(808) 599-4999
Entity
Organization
Contact information
Practice address
680 IWILEI RD STE 660, HONOLULU, HI 96817-5392
(808) 599-4999
(808) 531-2832
Mailing address
680 IWILEI RD STE 660, HONOLULU, HI 96817-5392
(808) 599-4999
(808) 531-2832
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
533275
—
HI
Enumeration date
09/17/2020
Last updated
09/18/2020
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