Organization
PACIFIC CHOICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH M SUZUKI RN (MANAGING PARTNER)
(808) 678-3668
Entity
Organization
Contact information
Practice address
94-408 AKOKI ST, SUITE 205, WAIPAHU, HI 96797-2733
(808) 678-3668
(808) 678-3669
Mailing address
94-408 AKOKI ST, SUITE 205, WAIPAHU, HI 96797-2733
(808) 678-3668
(808) 678-3669
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689806770
—
HI
05
—
514065
—
HI
Enumeration date
08/22/2009
Last updated
10/12/2010
Update your record
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