| NPI | 1396288205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LOUISE GAEDING Sole Proprietor 702-328-8939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NV NV20131604557) |
| Enumeration Date | 2016-11-24 |
| Last Update Date | 2017-01-23 |