| NPI | 1104161355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE LINNETTE HARRIS President 702-491-1265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2022-06-20 |