NPI | 1154985778 |
---|---|
Doing Business As | SENIOR RESIDENTIAL CARE |
Doing Business As | SRC ANTHEM |
Entity Type | Organization |
Authorized Contact | MARIA BEATRICE MERCADO General Manager 702-325-5355 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2019-04-29 |
Last Update Date | 2024-05-07 |