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 |