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MARY JEAN B. URSUA

Adult Care Home

Kahului, Hawaii

Provider NPI: 1114253853

Organization Information:
Organization Name:  MARY JEAN B. URSUA


Practice Location:
383 W PAPA AVE  KAHULUI, HI 96732 US
Tel: 808-877-0351  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
HIW03609234-01

Other Provider Identifiers:

IssuerNumberStateType
W03609234-01HI05
587785HI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS HI - Page 1



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