| NPI | 1821444662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM OCTAVIO BUSTIOS Owner/Administrator 702-303-0696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NV 8556-PCS-0) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |