| NPI | 1659768745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANDRA CORNELIUS-JOHNSON Administrator 702-326-8594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NV NV20141435807) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |