| NPI | 1376932152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD FAUSETT President 702-852-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NV NVS8174PCS) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2016-08-18 |