Doctor Name: | MRS. STACEY OKANO |
NPI Number: | 1801213178 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | 1525-C |
Business Practice Address: | 16-1397 Ole Pohaku 35th Place Keaau, HI - 96749 |
Business Phone Number: | 8089827828 |
Business Fax Number: | 8089827822 |
Mailing Address: | Po Box 7014, HILO |
State: | HI |
Postal Code: | 967208937 |
Phone Number: | 8089827828 |
Fax Number: | 8089827822 |
NPI Enumeration Date: | 03/25/2014 |
NPI Last Update Date: | 03/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 376G00000X |
License Number: | 1525-C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Nursing Home Administrator |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual, often licensed by the state, who is responsible for the management of a nursing home. |