| NPI | 1114524311 |
|---|---|
| Other Name | JENNIFER BASILIO |
| Entity Type | Organization |
| Authorized Contact | JENNIFER BASILIO Administrator 702-576-1313 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |