Provider Demographics
NPI:1720206972
Name:ESTHER A CORPUZ
Entity Type:Organization
Organization Name:ESTHER A CORPUZ
Other - Org Name:EC HOME AID SUPPLY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:ADRIANO
Authorized Official - Last Name:CORPUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-677-5230
Mailing Address - Street 1:94-972 LUMILOKE ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3962
Mailing Address - Country:US
Mailing Address - Phone:808-677-5230
Mailing Address - Fax:808-677-5830
Practice Address - Street 1:94-972 LUMILOKE ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3962
Practice Address - Country:US
Practice Address - Phone:808-677-5230
Practice Address - Fax:808-677-5830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies