institution
Mary Jean B. Ursua
Adult Care Home Facility in Kahului, Hawaii
NPI 1114253853

Mary Jean B. Ursua is an Adult Care Home Facility based in Kahului, HI and is specialized in Adult Care Home. Mary Jean B. Ursua practices in Kahului, HI. The NPI Number for Mary Jean B. Ursua is 1114253853 and holds a License No. W03609234-01 (Hawaii).

The current practice location address for Mary Jean B. Ursua is 383 W Papa Ave, Kahului, HI and can be reached out via phone at 808-877-0351 and via fax at 808-877-0351.

Location: 383 W Papa Ave, Kahului, HI, 96732-2639
institution
Provider Profile Details
NPI Number
1114253853
Provider Name
Mary Jean B. Ursua
Credential
Provider Entity Type
Organization
Address
383 W Papa Ave, Kahului, HI, 96732-2639
Phone Number
808-877-0351
Fax Number
808-877-0351
Provider Enumeration Date
11/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
587785 05 HI
W03609234-01 05 HI
institution
Provider Business Practice Location Address Details
Address
383 W Papa Ave
City
State
Zip
96732-2639
Phone Number
808-877-0351
Fax Number
808-877-0351
person
Provider Business Mailing Address Details
Address
383 W Papa Ave
City
State
Zip
96732-2639
Phone Number
808-877-0351
Fax Number
808-877-0351
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
License No.
W03609234-01 (Hawaii)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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