| NPI | 1104374560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL SALVADOR CARRILLO Manager 702-953-7910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NV 8627-PCS-0) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |