Provider Demographics
NPI:1730789751
Name:METROPACIFIC GROUP, CORP
Entity type:Organization
Organization Name:METROPACIFIC GROUP, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:GAPAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-934-8334
Mailing Address - Street 1:PO BOX 4966
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-0966
Mailing Address - Country:US
Mailing Address - Phone:808-934-8334
Mailing Address - Fax:
Practice Address - Street 1:737 LOWER MAIN ST STE C2
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1400
Practice Address - Country:US
Practice Address - Phone:808-249-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care