| NPI | 1598368987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA MARIE KELLY Administrator 702-562-4134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 376J00000X Homemaker |
| 385H00000X Respite Care | |
| 372500000X Chore Provider | |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |