Organization Name: | HOSPICE MAUI, INC |
NPI Number: | 1063445690 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY LAGOY (EXECUTIVE DORECTOR) |
Mailing Address: | 400 Mahalani St Wailuku |
State: | HI US |
Postal Code: | 967932547 |
Phone Number: | 8082445555 |
Fax Number: | 8082445557 |
NPI Enumeration Date: | 07/08/2006 |
NPI Last Update Date: | 01/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | W40836976-01 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |