| NPI | 1619624400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA L DAVIS Owner/President/Administrator 702-782-9029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |