Kysticare Hawaii Providers, L.l.c.

NPI #1538863667 in Ewa Beach, Hawaii

Provider Information

NPI Number: 1538863667
Entity Type: Organization
Organization Name: Kysticare Hawaii Providers, L.l.c.
Primary Specialty: In Home Supportive Care
Enumeration Date: Mar 30, 2023
Last Updated: Apr 3, 2023

Practice Location

Address: 91-822 LIPAKI PL
City: Ewa Beach
State: Hawaii
ZIP Code: 96706-2922
Phone: (808) 744-1962

Authorized Official

Name: JAMAICA LAGUNA MANUEL, HCA/LTC
Title: HOME CARE ADMINISTRATOR
Phone: (808) 744-1962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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