| NPI | 1558981456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE RICHEANNE CROCK Administrator 702-858-4559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-05-13 |