| NPI | 1346072204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMESETTA KAIDDY MILLER Owner/Caregiver 702-960-8706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X Meals |
| 251G00000X Hospice Care, Community Based | |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |