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3g'S Direct Care Services Provider LLC

In Home Supportive Care in Ewa Beach, HI. Organization (NPI-2).

NPI number1164035820
StatusActive
Last updated in NPPESDec 15, 2020

Details

NPI
1164035820
Entity type
Organization (NPI-2)
Legal business name
3g'S Direct Care Services Provider LLC
Organization subpart
No
Enumeration date
Aug 24, 2020
Certification date
Dec 15, 2020
Last updated
Dec 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
251J00000X Nursing Care––

Practice location

91-692 Makalea St
Ewa Beach, HI 96706-5944

Phone 808-683-3867

Mailing address

91-692 Makalea St
Ewa Beach, HI 96706-5944

Phone 808-683-3867

Authorized official

Gloria Quiling Raymundo
President
8082941402

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