Jens Caregiver INC
In Home Supportive Care in Kaneohe, HI. Organization (NPI-2).
NPI number1043661358
StatusActive
Last updated in NPPESJun 28, 2016
Details
- NPI
- 1043661358
- Entity type
- Organization (NPI-2)
- Legal business name
- Jens Caregiver INC
- Organization subpart
- No
- Enumeration date
- Jun 28, 2016
- Last updated
- Jun 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | HI101017448 | HI | Yes |
Practice location
44-720 Puamohala StKaneohe, HI 96744-2449
Phone 808-349-6836
Mailing address
44-720 Puamohala StKaneohe, HI 96744-2449
Phone 808-349-6836
Authorized official
Toni Jen Bastatas
Owner
8083496836
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