| NPI | 1659257087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUBREY CLUM Biller/Manager 702-488-6204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |