| NPI | 1326543000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HARRIS Manager 702-227-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NV 3228-AGC-22) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2020-06-02 |