1720442346 NPI number — DALY RESOURCES LLC

Table of content: (NPI 1720442346)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720442346 NPI number — DALY RESOURCES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DALY RESOURCES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DALY BIRTH MATERNITY SERVICES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720442346
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/09/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
820 KUPULAU DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KIHEI
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96753-9231
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-575-7677
Provider Business Mailing Address Fax Number:
888-501-5657

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 LINO PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MAKAWAO
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96768-8545
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-280-2077
Provider Business Practice Location Address Fax Number:
888-501-5657
Provider Enumeration Date:
04/09/2016

Additional Information

Authorized Official

Authorized Official Last Name:
DALY
Authorized Official First Name:
MERRILY
Authorized Official Middle Name:
DIVINE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
808-280-2077

Provider Taxonomy Codes

  • Taxonomy code: 261QB0400X , with the licence number:  00040004 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QB0400X , with the licence number: 21789 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QB0400X , with the licence number: 645843 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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