| NPI | 1871246850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL AVILA Designee/Assistant Administrator 702-413-7285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH1000X Registered Nurse, Hospice |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |