| NPI | 1659846699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA PATAWARAN BUCO Administrator 702-790-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 164W00000X Licensed Practical Nurse | |
| 163WI0500X Registered Nurse, Infusion Therapy | |
| 261Q00000X Clinic/Center | |
| 163WH0200X Registered Nurse, Home Health | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 163WA2000X Registered Nurse, Administrator | |
| 163WP2201X Registered Nurse, Ambulatory Care | |
| 261QP2400X Clinic/Center, Prison Health | |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2026-01-13 |