| NPI | 1811723935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE ANN MARIE MEDINA Managing Member 702-237-3395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-13 |