Petty Basa

NPI #1841603958 in Waipahu, Hawaii

Provider Information

NPI Number: 1841603958
Entity Type: Organization
Organization Name: Petty Basa
Primary Specialty: Foster Care Agency
Enumeration Date: Jun 5, 2014
Last Updated: Jun 5, 2014

Practice Location

Address: 94-249 PAIWA ST
City: Waipahu
State: Hawaii
ZIP Code: 96797-3481
Phone: (808) 678-8331

Authorized Official

Name: MRS. PETTY CAJALNE BASA
Title: NA/PRIMARY CARE GIVER
Phone: (808) 678-8331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Foster Care Agency	253J00000X	Primary

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