| NPI | 1124766183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIDELYN DE LA PAZ Administrator 702-769-0584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-05-20 |