| NPI | 1285106492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JONATHAN CRUZ Administrator 702-405-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2021-11-04 |