Organization
AIM TALAVERA. INC.
Active
Organization
AIM TALAVERA. INC.
Active
Other names
Advantage Health Care Provider
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY ATMOSPERA-WALCH RN, BSN, MPH, NHA, E (PRESIDENT/CEO)
(808) 778-3832
Entity
Organization
Contact information
Practice address
1188 BISHOP ST, SUITE 1507, HONOLULU, HI 96813-3301
(808) 525-8888
(808) 536-7200
Mailing address
1188 BISHOP ST, SUITE 1507, HONOLULU, HI 96813-3301
(808) 525-8888
(808) 536-7200
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
W78189882-01
HI
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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