NPI 1114253853

Mary Jean B. Ursua

Organisation Adult Care Home Facility Kahului, HI

Practice location

Address: 383 W Papa Ave, Kahului, HI 96732-2639
Phone: (808) 877-0351
Fax: (808) 877-0351

Authorised official

Name: Mary Jean Barbado Ursua
Title: Lpn
Phone: (808) 877-0351

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence W03609234-01 (HI)

Other Custodial Care Facility providers in Hawaii →

Registry record

NPI: 1114253853
Entity type: Organization
NPI issued: 1 Nov 2009
Record last updated: 1 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.