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PRISCILLA BRUNN

Adult Care Home

Aiea, Hawaii

Provider NPI: 1790847168

Provider Information:
 PRISCILLA  BRUNN 


Practice Location:
99-243 AIEA HEIGHTS DR  AIEA, HI 96701 US
Tel: 808-484-9165  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
HI510-645

Other Provider Identifiers:

IssuerNumberStateType
PROVIDER NUMBER510645HI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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