| NPI | 1124846795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONEY HILL Administrator 702-348-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-30 |