Organization
PRINCESS JOY DOMNGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRINCESS JOY F DOMINGO (CNA)
(808) 325-3237
Entity
Organization
Contact information
Practice address
73-1340 KAIMINANI DR, KAILUA KONA, HI 96740-8521
(808) 325-3237
(808) 325-3237
Mailing address
73-1340 KAIMINANI DR, KAILUA KONA, HI 96740-8521
(808) 325-3237
(808) 325-3237
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
504764
PROVIDER ID
HI
Enumeration date
08/11/2010
Last updated
08/11/2010
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