| NPI | 1780192427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN KATHERINE GRAY Adminisrator 702-787-6217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2020-08-05 |