Organization
MANAWA LEA HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA MAGDALENA RABAGO RN (PRESIDENT)
(808) 484-5635
Entity
Organization
Contact information
Practice address
94-673 KUPUOHI STREET C108, WAIPAHU, HI 96797-5372
(808) 686-9800
(808) 484-5636
Mailing address
PO BOX 1089, AIEA, HI 96701-1089
(808) 484-5635
(808) 484-5636
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902993199
—
HI
Enumeration date
03/27/2009
Last updated
03/27/2009
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