| NPI | 1033606801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY M JACKSON Administrator 702-412-5175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NV NV201801659566) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |