| NPI | 1902405616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINESHA BROWN Owner 702-428-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2021-11-01 |