| NPI | 1780034751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA SMITH Administrator 702-203-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NV 8453-AGC-0) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |