| NPI | 1801115795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET R. WHEBLE President 702-354-5712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV 412) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2019-03-29 |