Provider Demographics
NPI:1952630550
Name:DREAM ALLIANCE LLC
Entity Type:Organization
Organization Name:DREAM ALLIANCE LLC
Other - Org Name:SYNERGY HOMECARE HAWAII
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELICITAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CABALLERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-596-7014
Mailing Address - Street 1:320 WARD AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4001
Mailing Address - Country:US
Mailing Address - Phone:808-596-7014
Mailing Address - Fax:808-596-7018
Practice Address - Street 1:320 WARD AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4001
Practice Address - Country:US
Practice Address - Phone:808-596-7014
Practice Address - Fax:808-596-7018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care