| NPI | 1083367809 |
|---|---|
| Doing Business As | HCBS WAIVER FOR PERSONS WITH PHYSICAL DISABILITIES |
| Entity Type | Organization |
| Authorized Contact | MAIDELYN DE LA PAZ Adminitrator 702-769-0584 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 372500000X Chore Provider |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-07-18 |