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Organization

MANILYN B NAGTALON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANILYN NAGTALON (CAREGIVER)
(808) 744-6396
Entity
Organization

Contact information

Practice address
91-1002 FORT WEAVER RD, EWA BEACH, HI 96706-2229
(808) 744-6396
(808) 744-6396
Mailing address
91-1002 FORT WEAVER RD, EWA BEACH, HI 96706-2229
(808) 744-6396
(808) 744-6396

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
W48371325-01
HI

Other

Enumeration date
08/29/2016
Last updated
08/29/2016
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