Healthcare Provider Details

I. General information

NPI: 1346884566
Provider Name (Legal Business Name): ABC STAFFING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2019
Last Update Date: 10/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 MILILANI ST PH 4
HONOLULU HI
96813-2918
US

IV. Provider business mailing address

PO BOX 2187
PEARL CITY HI
96782-9187
US

V. Phone/Fax

Practice location:
  • Phone: 808-784-0033
  • Fax: 808-784-0037
Mailing address:
  • Phone: 808-428-0584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANGELA B CASTILLO
Title or Position: PRESIDENT
Credential: RN
Phone: 808-784-0033