| NPI | 1417474867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE REBOLLEDO AGUSTIN Administrator 702-410-2616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NV NV20171307704) |
| Enumeration Date | 2017-08-26 |
| Last Update Date | 2021-07-15 |