| NPI | 1194360040 |
|---|---|
| Doing Business As | HILLSIDE MANOR AT MOUNTAINS EDGE |
| Entity Type | Organization |
| Authorized Contact | ALLYN FRANCIS POVILAITIS President 702-860-4967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |