| NPI | 1396153722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN ALBERTO AVILA Administrator 702-822-1253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NV 7997PCS-0) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |