| NPI | 1679917272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVION JAWAAN PHILLIPS P RN S Worker/ Adaptive Recreation 702-417-9540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |