Provider Demographics
NPI:1497354542
Name:HAWAII HOME INFUSION ASSOCIATES, LTD.
Entity Type:Organization
Organization Name:HAWAII HOME INFUSION ASSOCIATES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:ENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:GLICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-245-3787
Mailing Address - Street 1:4490 KOLOPA ST STE B
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-2027
Mailing Address - Country:US
Mailing Address - Phone:808-245-3787
Mailing Address - Fax:808-246-6912
Practice Address - Street 1:4490 KOLOPA ST STE B
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-2027
Practice Address - Country:US
Practice Address - Phone:808-245-3787
Practice Address - Fax:808-246-6912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies