Organization
LOVING CARE HEALTH PROVIDER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ELVIRA POLA TABLADILLO (ADMINISTRATOR)
(808) 383-7074
Entity
Organization
Contact information
Practice address
94-239 WAIPAHU DEPOT ST STE 201C, WAIPAHU, HI 96797-3056
(808) 383-7074
(808) 312-1750
Mailing address
94-483 OPEHA ST, WAIPAHU, HI 96797-4517
(808) 383-7074
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
12/18/2020
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