| NPI | 1336850361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY DEGUZMAN DESAMITO Managing Member / Manager 702-807-9971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |