Provider Demographics
NPI:1053043935
Name:ADVANCED CASE MANAGEMENT
Entity Type:Organization
Organization Name:ADVANCED CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AGA MARNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROXAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:808-650-2466
Mailing Address - Street 1:PO BOX 700083
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96709-0083
Mailing Address - Country:US
Mailing Address - Phone:808-650-2466
Mailing Address - Fax:808-600-3761
Practice Address - Street 1:1708 AUIKI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-3101
Practice Address - Country:US
Practice Address - Phone:808-650-2466
Practice Address - Fax:808-600-3761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management