Provider Demographics
NPI:1497394985
Name:DLMC, INC.
Entity Type:Organization
Organization Name:DLMC, INC.
Other - Org Name:KAMAAINA HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:LETICIA
Authorized Official - Middle Name:FAJARDO
Authorized Official - Last Name:DEXTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-422-2802
Mailing Address - Street 1:PO BOX 1238
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-1238
Mailing Address - Country:US
Mailing Address - Phone:808-422-2802
Mailing Address - Fax:808-484-9076
Practice Address - Street 1:98-023 HEKAHA ST UNIT 209
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4912
Practice Address - Country:US
Practice Address - Phone:808-422-2802
Practice Address - Fax:808-484-9076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-31
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health