| NPI | 1861878381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDELL BAILEY Owner 702-305-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NV nv20141084923) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |