Healthcare Provider Details

I. General information

NPI: 1467606830
Provider Name (Legal Business Name): ALOHA HEALTH CARE PROVIDERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2008
Last Update Date: 11/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-545 FORT WEAVER RD
EWA BEACH HI
96706-2532
US

IV. Provider business mailing address

91-545 FORT WEAVER RD
EWA BEACH HI
96706-2532
US

V. Phone/Fax

Practice location:
  • Phone: 808-689-1451
  • Fax:
Mailing address:
  • Phone: 808-689-1451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: ESTELITA TERRADO
Title or Position: PRESIDENT
Credential:
Phone: 808-689-1451