| NPI | 1700455318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLARICE R RAYFORD Administrator 702-800-9839 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2021-06-18 |