| NPI | 1386279164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZENEBEWORK ALEMAYEHOU Managing Member 702-979-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2022-01-31 |