| NPI | 1235454521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORDELIZA C. ANTOLIK Administrator 702-240-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NV 5267PCS) |
| Additional Taxonomies | 372500000X Chore Provider |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2022-08-08 |