| NPI | 1457715765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES MALINIS Credentialing Specialist 702-410-7825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2020-04-24 |