Organization
LIFE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL GROESBECK JD (EXECUTIVE DIRECTOR)
(808) 521-2437
Entity
Organization
Contact information
Practice address
677 ALA MOANA BLVD STE 226, HONOLULU, HI 96813-5416
(808) 521-2437
(808) 521-1279
Mailing address
677 ALA MOANA BLVD STE 226, HONOLULU, HI 96813-5416
(808) 521-2437
(808) 521-1279
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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