| NPI | 1619791118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSMERY GARCIA Administrator 702-661-5530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |