Organization
EVERGREEN ADC HAWAII
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J PARK (OWNER)
(808) 946-7505
Entity
Organization
Contact information
Practice address
1124 FORT STREET MALL FL 2, HONOLULU, HI 96813-2715
(808) 946-7505
Mailing address
1124 FORT STREET MALL FL 2, HONOLULU, HI 96813-2715
(808) 946-7505
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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