Healthcare Provider Details

I. General information

NPI: 1841731551
Provider Name (Legal Business Name): ALOHA ADULT DAY HEALTHCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2017
Last Update Date: 03/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 W OWENS AVE
LAS VEGAS NV
89106-2516
US

IV. Provider business mailing address

930 W OWENS AVE
LAS VEGAS NV
89106-2516
US

V. Phone/Fax

Practice location:
  • Phone: 702-581-7435
  • Fax:
Mailing address:
  • Phone: 702-581-7435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number8661-ADC-0
License Number StateNV

VIII. Authorized Official

Name: DANIELLE AKIOYAME
Title or Position: OWNER
Credential:
Phone: 702-581-7435