Provider Demographics
NPI:1720442346
Name:DALY RESOURCES LLC
Entity Type:Organization
Organization Name:DALY RESOURCES LLC
Other - Org Name:DALY BIRTH MATERNITY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MERRILY
Authorized Official - Middle Name:DIVINE
Authorized Official - Last Name:DALY
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, RN, CLC, CLNC
Authorized Official - Phone:808-280-2077
Mailing Address - Street 1:820 KUPULAU DR
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-9231
Mailing Address - Country:US
Mailing Address - Phone:808-575-7677
Mailing Address - Fax:888-501-5657
Practice Address - Street 1:1 LINO PL
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-8545
Practice Address - Country:US
Practice Address - Phone:808-280-2077
Practice Address - Fax:888-501-5657
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DALY RESOURCES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-09
Last Update Date:2016-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00040004261QB0400X
HI21789261QB0400X
CA645843261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing