| NPI | 1770028706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL SALVADOR CARRILLO Manager 702-953-7910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care (Licence: NV 8627-PCS-0) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2021-11-23 |