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General NPI Number Information
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NPI Number | 1891335436
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Entity Type | Organization
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Legal Business Name | MARRHEY CARE HOME LLC
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Dates
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Enumeration Date | 01/12/2020
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Last Update Date | 01/12/2020
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Provider Practice Location Address
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Address Line | 94-211 LOAA ST
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City | WAIPAHU
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State | HI
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Zip | 96797-1423
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Country | US
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Telephone | 808-330-7805
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Fax |
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Provider Business Mailing Address
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Address Line | 98-1642 NAHELE ST
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City | AIEA
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State | HI
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Zip | 96701-1719
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Country | US
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Telephone | 808-330-7805
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALMIRA PIENA
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Credential |
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Telephone | 808-330-7805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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