| NPI | 1467913335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZORINA DOMINGUEZ Managing Member 702-838-5818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |