| NPI | 1417594284 |
|---|---|
| Doing Business As | A BENEVOLENT HEART CARE HOME |
| Entity Type | Organization |
| Authorized Contact | ROY DEGUZMAN DESAMITO Member / Facility Manager 702-897-0925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2019-11-29 |
| Last Update Date | 2019-11-29 |