Organization
LOU'S QUALITY HOME HEALTH CARE SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESTER HIEDA (OPERATIONS MANAGER)
(808) 623-7109
Entity
Organization
Contact information
Practice address
95-212 WAILAWA STREET, MILILANI, HI 96789
(808) 623-7109
(808) 623-7100
Mailing address
95-212 WAILAWA STREET, MILILANI, HI 96789
(808) 623-7109
(808) 623-7100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
46360
HI
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4044845
GE LICENSE
HI
Enumeration date
08/20/2006
Last updated
09/18/2020
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