| NPI | 1215400684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD C SIMON Assistant Administrator 702-240-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 372500000X Chore Provider |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2022-08-08 |