| NPI | 1497212831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX DANTE DALAN Administrator 702-476-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-04-05 |