| NPI | 1588370787 |
|---|---|
| Doing Business As | SRC SOUTHWEST |
| Entity Type | Organization |
| Authorized Contact | MARIA BEATRICE MERCADO General Manager 702-325-5355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |