Organization
JCRG ELDERCARE & TRANSSERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CECILIA DELA MERCED DE PERALTA RN (MEMBER)
(808) 456-1805
Entity
Organization
Contact information
Practice address
1185 HOOLAULEA ST, PEARL CITY, HI 96782-2607
(808) 456-1085
(808) 456-1806
Mailing address
1185 HOOLAULEA ST, PEARL CITY, HI 96782-2607
(808) 456-1085
(808) 456-1806
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1738-C
HI
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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