| NPI | 1891093621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MITCHELL Manager/Administrator 702-293-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health (Licence: NV NV20101141308) |
| 302F00000X Exclusive Provider Organization (Licence: NV NV20101141308) | |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2021-11-22 |