Provider Demographics
NPI:1689295545
Name:LAULEA CASE MANAGEMENT AGENCY, LLC
Entity Type:Organization
Organization Name:LAULEA CASE MANAGEMENT AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRATA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:808-333-9227
Mailing Address - Street 1:PO BOX 6850
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-8935
Mailing Address - Country:US
Mailing Address - Phone:808-796-3408
Mailing Address - Fax:808-796-3022
Practice Address - Street 1:200 WAIKAHE RD
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-3633
Practice Address - Country:US
Practice Address - Phone:808-796-3408
Practice Address - Fax:808-796-3022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-01
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management