| NPI | 1063481463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOGESH D PATEL President 702-315-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NV 100506310) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2020-08-22 |