| NPI | 1023552437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKEIA FUNCHES Administrator 702-716-6293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NV NV20151461450) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |