Pancho and Jayvie's Adult Foster Care Home
Pancho and Jayvie's Adult Foster Care Home is a Skilled Nursing Facility in Keaau, Hawaii. Licensed in Hawaii. Registered with an NPI since 2006.
- Licensed in
- HI
- In the registry since
- 2006
Practice location Address checks out
16-123 Ainaloa BlvdKeaau, HI 96749
Phone: (808) 982-5004
Fax: (808) 982-5004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence W02297664-01 (HI) |
|---|
Record details
| NPI number | 1356403976 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jayvie Sumoba — Owner · (808) 982-5004 |
| Other names | None |
| NPI enumerated | December 14, 2006 |
| Last updated in NPPES | June 23, 2008 |
| Mailing address | Rr 3 Box 1009, Pahoa, HI 96778-7500 |