Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareMARY 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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
383 W PAPA AVE KAHULUI, HI 96732 US
Tel: 808-877-0351 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | HI | W03609234-01 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| W03609234-01 | HI | 05 | |
| 587785 | HI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin