| NPI | 1114465879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENESIS S BAUTISTA Administrator 702-822-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NV 8613-PCS-0) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |