| NPI | 1487136230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON GABIOLA Manager 702-886-2265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NV 2827AGC26) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |