| NPI | 1063116473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA M VASWANI Manager 702-339-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |