| NPI | 1215436563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LYNN GONZALEZ Administrator 702-722-1229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-06-05 |