| NPI | 1326799966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKEIA FUNCHES Owner 702-557-6922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-01-14 |