| NPI | 1346809373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO MANAGO Managing Member 702-807-7634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |