| NPI | 1649511478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRECIOUS P MCCLAY-CABANISS Executive Director 702-998-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |