| NPI | 1689059362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA LAUREL PETERSON Manager 702-413-8879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NV 7381AGC-3) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |