Organization
HAWAII ISLAND ADULT CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA A. K. SAQUING (EXECUTIVE DIRECTOR)
(808) 961-3747
Entity
Organization
Contact information
Practice address
34 RAINBOW DR, HILO, HI 96720-2056
(808) 961-3747
(808) 961-3740
Mailing address
561 KUPUNA PL, HILO, HI 96720-3935
(808) 961-3747
(808) 961-3740
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
505399
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
505399
PROVIDER NUMBER
HI
Enumeration date
01/29/2007
Last updated
08/19/2020
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