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Diversified Island Investment Ltd.

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

NPI number1982207858
StatusActive
Last updated in NPPESDec 14, 2020

Details

NPI
1982207858
Entity type
Organization (NPI-2)
Legal business name
Diversified Island Investment Ltd.
Organization subpart
No
Enumeration date
Nov 20, 2020
Certification date
Dec 14, 2020
Last updated
Dec 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

94-210 Pupukahi St
Waipahu, HI 96797-2649

Phone 808-676-5751 · Fax 808-677-1918

Mailing address

Po Box 6625
Hilo, HI 96720-8931

Phone 808-934-7733 · Fax 808-934-7744

Authorized official

Marichu A Paz
Authorized Business Agent
8089347733

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