| NPI | 1700309986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN MOREY Director 702-956-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV NV20171449233) |
| Additional Taxonomies | 251S00000X |
| 251S00000X | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |