| NPI | 1053827212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND AQUINO TORIO Facility Manager/Owner 702-218-3319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NV 3171-AGC-20) |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2017-12-22 |