Organization
REGENERATIVE LIVING PRIVATE DUTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY KAZUO HIRONAKA JR. (DIRECTOR)
(808) 223-1989
Entity
Organization
Contact information
Practice address
1314 SOUTH KING STREET STE 853, HONOLULU, HI 96814
(808) 223-1989
(866) 306-3167
Mailing address
1536 ALA PUUMALU STREET, HONOLULU, HI 96818
(808) 223-1989
(866) 306-3167
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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