Organization
GENUINE808 CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIEFLOR DAPON (RN / OWNER)
(808) 807-3412
Entity
Organization
Contact information
Practice address
91-1537 MILIMILI ST, EWA BEACH, HI 96706-5674
(808) 807-3412
(808) 460-4008
Mailing address
91-1537 MILIMILI ST, EWA BEACH, HI 96706-5674
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/22/2023
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