| Legacy Life, Llc | |
|
94-1221 Ka Uka Blvd # B202 Waipahu HI 96797-6202 | |
| (808) 259-1521 | |
| (808) 671-0222 |
| Full Name | Legacy Life, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 94-1221 Ka Uka Blvd # B202, Waipahu, Hawaii |
| Authorized Official Name and Position | Aaron Mukai (OWNER) |
| Authorized Official Contact | 8082591521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Life, Llc 94-1221 Ka Uka Blvd # B202 Waipahu HI 96797-6202 Ph: () - | Legacy Life, Llc 94-1221 Ka Uka Blvd # B202 Waipahu HI 96797-6202 Ph: (808) 259-1521 |
| NPI Number | 1518200625 |
|---|---|
| Provider Enumeration Date | 03/27/2013 |
| Last Update Date | 03/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518200625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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