| NPI | 1871299180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIE NOVELO TANDIONO-CELLONA CEO 702-882-4975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 261Q00000X |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-07 |