| NPI | 1417645037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA CASTRO Administrator 702-245-7417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |