| NPI | 1205442597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETRONE HAWKINS Owner/President/Administrator 702-752-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |