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Organization

STAY AT HOME HEALTHCARE SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RANDALL I HATA (SECRETARY/TREASURER)
(808) 791-4496
Entity
Organization

Contact information

Practice address
3-3367 KUHIO HWY, LIHUE, HI 96766-1034
(808) 245-5121
Mailing address
45-181 WAIKALUA RD, KANEOHE, HI 96744-2765
(808) 247-0003

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
804171
HI
Enumeration date
11/25/2020
Last updated
11/25/2020
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