| NPI | 1417592221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN MAY HERODICO President 702-956-7626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2020-12-08 |