| NPI | 1083366843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORITA TANAHAN Owner 702-368-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-01-24 |