| NPI | 1457852105 |
|---|---|
| Former Legal Business Name | BRANDY NICOLE MCCULLOUCH |
| Entity Type | Organization |
| Authorized Contact | BRANDY MCCULLOUCH CEO 702-717-8705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |