| NPI | 1306115449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED GRANEY Owner 775-359-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: NV 5343PCS-2) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2022-11-09 |