OrganizationActive
Manilyn B Nagtalon
NPI 1073069134 · Nursing Facility/Intermediate Care Facility · Ewa Beach, HI
Provider details
- NPI number
- 1073069134
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Manilyn Nagtalon, Caregiver(808) 744-6396
- License
- W48371325-01 (HI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
91-1002 Fort Weaver Rd
Ewa Beach, HI 96706-2229
Phone: (808) 744-6396
Fax: (808) 744-6396
Approximate (ZIP-level) locationGet directions
Mailing address
91-1002 Fort Weaver Rd
Ewa Beach, HI 96706-2229
Registry dates
- Enumerated
- 2016-08-29
- Last updated
- 2016-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.