| NPI | 1386443927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REY EDRICK VASQUEZ Managing Member 702-741-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |