| NPI | 1710233317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTAGRACIA FONG Owner 702-463-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NV 6267PCS-0) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |