Pancho and Jayvie's Adult Foster Care Home
NPI #1356403976 in Keaau, Hawaii
Provider Information
- NPI Number
- 1356403976
- Entity Type
- Organization
- Organization Name
- Pancho and Jayvie's Adult Foster Care Home
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 14, 2006
- Last Updated
- Jun 23, 2008
Practice Location
Authorized Official
- Name
- JAYVIE AGCAOILI SUMOBA, CNA
- Title
- OWNER
- Phone
- (808) 982-5004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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