| NPI | 1649086372 |
|---|---|
| Doing Business As | AGAVE SPECIALTY CARE |
| Entity Type | Organization |
| Authorized Contact | HOMER SIMS Owner 702-350-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-12-07 |
| Last Update Date | 2025-04-03 |