| NPI | 1760033468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CRUZ Administrator 702-405-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-12-03 |