| NPI | 1548994957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA LENO Owner/Administrator 702-909-5903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2024-03-06 |