Organization
PRIMECARECORP
Active
Other names
PRIMECARE PRO
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YOLANDA CHAVEZ MACADANGDANG (CONTROLLER)
(808) 520-0034
Entity
Organization
Contact information
Practice address
16-128 ORCHID LAND DRIVE, KEAAU, HI 96749
(808) 520-0034
(808) 933-9304
Mailing address
PO BOX 7129, HILO, HI 96720-8939
(808) 520-0034
(808) 933-9304
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
09/11/2025
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