| NPI | 1356052690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN FONTILLAS Member 702-882-7736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2022-12-07 |