Healthcare Provider Details
I. General information
NPI: 1407073034
Provider Name (Legal Business Name): ACCESS LIFTS OF HAWAII, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1525 YOUNG ST
HONOLULU HI
96826-1923
US
IV. Provider business mailing address
1525 YOUNG ST
HONOLULU HI
96826-1923
US
V. Phone/Fax
- Phone: 808-955-4387
- Fax: 808-955-4388
- Phone: 808-955-4387
- Fax: 808-955-4388
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
GENO
A.
GODINET
Title or Position: PRESIDENT
Credential:
Phone: 808-955-4287