Organization
HOSPICE MAUI INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG LAGOY N.D. (CHIEF EXECUTIVE OFFICER)
(808) 244-5555
Entity
Organization
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 244-5555
Mailing address
400 MAHALANI ST, WAILUKU, HI 96793-2547
(808) 244-5555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00089797
HMSA PROVIDER NUMBER
—
05
—
06921101
—
HI
Enumeration date
09/20/2011
Last updated
09/20/2011
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