| NPI | 1700393246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA JOSE AGUIRRE CAMPOSANO Credentialing Specialist 702-476-2899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NV NV20171169367) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |