| NPI | 1215602073 |
|---|---|
| Doing Business As | TLC COSTA BRAVA |
| Entity Type | Organization |
| Authorized Contact | DORA VALENTIN Administrator 702-608-7238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-08-13 |