| NPI | 1568855237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY TADDEO Speech Language Pathologist 702-277-2523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NV SP-1778) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |