Organization
FIDELITY PRIME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLORES REYES (PRESIDENT)
(808) 520-0034
Entity
Organization
Contact information
Practice address
16-128 ORCHIDLAND DRIVE, KEAAU, HI 96749
(808) 520-0034
Mailing address
PO BOX 7129, HILO, HI 96720-8939
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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